- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,398.92 / $8,972.90 / $59,886.51
| Facility | | $1,398.92 | $8,972.90 | $59,886.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,765.15 / $46,478.00 / $77,850.02
| Facility | | $23,765.15 | $46,478.00 | $77,850.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,219.00 / $5,359.00 / $7,278.00
| Facility | | $5,219.00 | $5,359.00 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,942.25 / $54,786.34 / $96,105.90
| Facility | | $5,942.25 | $54,786.34 | $96,105.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,462.00 / $8,141.00 / $59,350.58
| Facility | | $1,462.00 | $8,141.00 | $59,350.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,219.00 / $5,359.00 / $7,278.00
| Facility | | $5,219.00 | $5,359.00 | $7,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $978.65 / $978.65 / $1,016.26
| Facility | | $978.65 | $978.65 | $1,016.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,144.00 / $6,568.00 / $58,228.00
| Facility | | $2,144.00 | $6,568.00 | $58,228.00 |