- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $447.92 / $2,280.46 / $6,691.00
| Facility | | $447.92 | $2,280.46 | $6,691.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,387.50 / $28,919.13 / $59,187.82
| Facility | | $16,387.50 | $28,919.13 | $59,187.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $212.50 / $4,357.68 / $23,794.71
| Facility | | $212.50 | $4,357.68 | $23,794.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $261.91 / $21,327.51 / $21,327.51
| Facility | | $261.91 | $21,327.51 | $21,327.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.84 / $501.84 / $501.84
| Facility | | $501.84 | $501.84 | $501.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,016.24 / $11,500.00 / $22,000.00
| Facility | | $2,016.24 | $11,500.00 | $22,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $189.30 / $347.88 / $541.91
| Facility | | $189.30 | $347.88 | $541.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.99 / $350.49 / $542.66
| Facility | | $190.99 | $350.49 | $542.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,152.00 / $13,691.00 / $50,448.00
| Facility | | $6,152.00 | $13,691.00 | $50,448.00 |