- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,715.35 / $12,882.50
| Facility | | $1,000.00 | $3,715.35 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $19,498.45 / $39,810.72
| Facility | | $12,022.64 | $19,498.45 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $11,481.54 / $11,481.54
| Facility | | $354.81 | $11,481.54 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $53,703.18
| Facility | | $54.95 | $56.23 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $1,905.46 / $7,943.28
| Facility | | $489.78 | $1,905.46 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $501.19 / $870.96
| Facility | | $380.19 | $501.19 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $8,317.64 / $17,782.79
| Facility | | $2,630.27 | $8,317.64 | $17,782.79 |