- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,915.00 / $23,253.80 / $40,855.90
| Facility | | $2,915.00 | $23,253.80 | $40,855.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,000.00 / $19,264.45 / $33,278.32
| Facility | | $4,000.00 | $19,264.45 | $33,278.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.00 / $2,208.00 / $8,605.00
| Facility | | $812.00 | $2,208.00 | $8,605.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,864.00 / $14,978.08 / $42,450.82
| Facility | | $4,864.00 | $14,978.08 | $42,450.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,897.44 / $47,768.90 / $56,060.86
| Facility | | $32,897.44 | $47,768.90 | $56,060.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,859.10 / $5,151.97 / $468,908.89
| Facility | | $3,859.10 | $5,151.97 | $468,908.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,119.00 / $18,022.00 / $43,573.59
| Facility | | $6,119.00 | $18,022.00 | $43,573.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $3,800.00 / $22,563.54
| Facility | | $600.00 | $3,800.00 | $22,563.54 |