- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.91 / $2,323.00 / $58,591.86
| Facility | | $295.91 | $2,323.00 | $58,591.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,064.36 / $57,711.74 / $118,585.34
| Facility | | $2,064.36 | $57,711.74 | $118,585.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $46,596.01
| Facility | | $625.25 | $761.81 | $46,596.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $206.80 / $387.31 / $31,394.24
| Facility | | $206.80 | $387.31 | $31,394.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.92 / $527.28 / $889.09
| Facility | | $303.92 | $527.28 | $889.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $357.87 / $606.44 / $40,125.68
| Facility | | $357.87 | $606.44 | $40,125.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,235.22 / $61,957.43 / $118,585.34
| Facility | | $45,235.22 | $61,957.43 | $118,585.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,252.00 / $12,133.00 / $35,976.00
| Facility | | $4,252.00 | $12,133.00 | $35,976.00 |