- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,250.00 / $41,377.40 / $78,602.50
| Facility | | $3,250.00 | $41,377.40 | $78,602.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,451.07 / $29,451.07 / $29,451.07
| Facility | | $29,451.07 | $29,451.07 | $29,451.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.00 / $32,523.85 / $59,713.00
| Facility | | $1,905.00 | $32,523.85 | $59,713.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,491.00 / $8,156.00 / $53,733.04
| Facility | | $2,491.00 | $8,156.00 | $53,733.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,060.00 / $33,904.83 / $69,668.67
| Facility | | $1,060.00 | $33,904.83 | $69,668.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $24,398.65 / $65,832.92
| Facility | | $1,031.00 | $24,398.65 | $65,832.92 |