- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,853.00 / $44,427.10 / $80,744.30
| Facility | | $3,853.00 | $44,427.10 | $80,744.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,230.65 / $11,165.00 / $43,796.87
| Facility | | $7,230.65 | $11,165.00 | $43,796.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,161.46 / $36,798.25
| Facility | | $1,474.01 | $4,161.46 | $36,798.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,018.00 / $36,300.54 / $58,653.76
| Facility | | $3,018.00 | $36,300.54 | $58,653.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,676.00 / $34,236.58 / $90,826.40
| Facility | | $2,676.00 | $34,236.58 | $90,826.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,375.00 / $31,730.66 / $72,021.50
| Facility | | $1,375.00 | $31,730.66 | $72,021.50 |