- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $7,413.10 / $40,738.03
| Facility | | $1,202.26 | $7,413.10 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $18,197.01 / $91,201.08
| Facility | | $6,165.95 | $18,197.01 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $912.01 / $15,135.61
| Facility | | $912.01 | $912.01 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,703.96 / $53,703.18
| Facility | | $13,489.63 | $25,703.96 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $1,258.93 / $1,258.93 / $1,258.93
| Facility | 22 | $1,258.93 | $1,258.93 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $954.99 / $2,137.96
| Facility | | $676.08 | $954.99 | $2,137.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $16,982.44 / $75,857.76
| Facility | | $758.58 | $16,982.44 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $16,595.87 / $40,738.03
| Facility | | $2,884.03 | $16,595.87 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $870.96 / $1,819.70
| Facility | | $512.86 | $870.96 | $1,819.70 |