- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $7,585.78 / $20,892.96
| Facility | | $1,000.00 | $7,585.78 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $19,498.45 / $37,153.52
| Facility | | $18,620.87 | $19,498.45 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,318.26 / $48,977.88
| Facility | | $891.25 | $1,318.26 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,096.48 / $1,148.15
| Facility | | $933.25 | $1,096.48 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $776.25 / $794.33
| Facility | | $776.25 | $776.25 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,902.95 / $60,255.96
| Facility | | $21,877.62 | $30,902.95 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $40,738.03 / $69,183.10
| Facility | | $4,677.35 | $40,738.03 | $69,183.10 |