- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,915.00 / $31,602.00 / $55,523.40
| Facility | | $2,915.00 | $31,602.00 | $55,523.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,000.00 / $8,000.00 / $33,481.67
| Facility | | $4,000.00 | $8,000.00 | $33,481.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $824.00 / $2,208.00 / $8,940.00
| Facility | | $824.00 | $2,208.00 | $8,940.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,617.00 / $20,355.30 / $57,690.91
| Facility | | $3,617.00 | $20,355.30 | $57,690.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,707.03 / $64,917.05 / $76,185.67
| Facility | | $44,707.03 | $64,917.05 | $76,185.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,703.76 / $3,268.20 / $6,809.70
| Facility | | $2,703.76 | $3,268.20 | $6,809.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,033.00 / $24,492.00 / $59,216.76
| Facility | | $4,033.00 | $24,492.00 | $59,216.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $3,732.00 / $30,663.98
| Facility | | $600.00 | $3,732.00 | $30,663.98 |