- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,301.00 / $7,673.49 / $31,419.67
| Facility | | $1,301.00 | $7,673.49 | $31,419.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,570.00 / $7,646.00 / $10,557.00
| Facility | | $6,570.00 | $7,646.00 | $10,557.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,355.19 / $40,528.21 / $96,504.48
| Facility | | $2,355.19 | $40,528.21 | $96,504.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,412.07 / $7,245.00 / $42,122.27
| Facility | | $1,412.07 | $7,245.00 | $42,122.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,624.00 / $7,278.00 / $10,557.00
| Facility | | $5,624.00 | $7,278.00 | $10,557.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $935.15 / $935.15 / $1,922.84
| Facility | | $935.15 | $935.15 | $1,922.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,742.00 / $6,911.00 / $13,797.00
| Facility | | $3,742.00 | $6,911.00 | $13,797.00 |