- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.00 / $56,951.80 / $112,520.00
| Facility | | $8,317.00 | $56,951.80 | $112,520.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.00 / $10,868.67 / $51,386.78
| Facility | | $1,380.00 | $10,868.67 | $51,386.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,361.13 / $40,950.01 / $70,645.91
| Facility | | $4,361.13 | $40,950.01 | $70,645.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,200.82 / $51,760.37 / $114,415.09
| Facility | | $42,200.82 | $51,760.37 | $114,415.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,273.00 / $4,104.00 / $87,625.69
| Facility | | $1,273.00 | $4,104.00 | $87,625.69 |