- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,264.90 / $17,743.00 / $98,969.14
| Facility | | $2,264.90 | $17,743.00 | $98,969.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,542.00 / $94,978.73 / $181,787.48
| Facility | | $26,542.00 | $94,978.73 | $181,787.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,283.56 / $39,283.56 / $50,000.00
| Facility | | $39,283.56 | $39,283.56 | $50,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,533.84 / $2,736.83 / $113,370.79
| Facility | | $1,533.84 | $2,736.83 | $113,370.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,779.57 / $2,335.62 / $2,467.71
| Facility | | $1,779.57 | $2,335.62 | $2,467.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,643.94 / $1,670.79 / $33,391.15
| Facility | | $1,643.94 | $1,670.79 | $33,391.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,061.14 / $95,033.05 / $181,787.48
| Facility | | $70,061.14 | $95,033.05 | $181,787.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,975.00 / $34,178.00 / $71,362.00
| Facility | | $5,975.00 | $34,178.00 | $71,362.00 |