- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.75 / $5,604.00 / $41,453.00
| Facility | | $518.75 | $5,604.00 | $41,453.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,448.00 / $21,921.00 / $93,611.00
| Facility | | $2,448.00 | $21,921.00 | $93,611.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.40 / $9,430.50 / $28,291.50
| Facility | | $593.40 | $9,430.50 | $28,291.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.71 / $25,163.00 / $36,520.00
| Facility | | $342.71 | $25,163.00 | $36,520.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $317.54 / $572.00 / $2,322.32
| Facility | | $317.54 | $572.00 | $2,322.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,587.20 / $1,684.00 / $6,820.03
| Facility | | $1,587.20 | $1,684.00 | $6,820.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $28,098.00 / $47,444.00
| Facility | | $555.00 | $28,098.00 | $47,444.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,079.00 / $3,037.00 / $9,202.00
| Facility | | $1,079.00 | $3,037.00 | $9,202.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $541.20 / $541.20 / $1,289.85
| Facility | | $541.20 | $541.20 | $1,289.85 |