- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,164.00 / $2,468.00 / $72,676.10
| Facility | | $1,164.00 | $2,468.00 | $72,676.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,392.00 / $14,726.60 / $51,942.87
| Facility | | $3,392.00 | $14,726.60 | $51,942.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,222.25 / $3,936.34 / $16,631.32
| Facility | | $2,222.25 | $3,936.34 | $16,631.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,356.91 / $80,018.78 / $125,755.14
| Facility | | $45,356.91 | $80,018.78 | $125,755.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,114.00 / $6,965.00 / $117,570.21
| Facility | | $2,114.00 | $6,965.00 | $117,570.21 |