- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,230.00 / $3,230.00 / $74,314.80
| Facility | | $3,230.00 | $3,230.00 | $74,314.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.00 / $3,754.00 / $6,211.27
| Facility | | $2,238.00 | $3,754.00 | $6,211.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,572.15 / $19,772.74 / $107,417.24
| Facility | | $9,572.15 | $19,772.74 | $107,417.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,475.00 / $60,680.19 / $103,289.33
| Facility | | $2,475.00 | $60,680.19 | $103,289.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,582.00 / $1,942.07 / $2,228.00
| Facility | | $1,582.00 | $1,942.07 | $2,228.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $668.53 / $42,059.49 / $60,283.58
| Facility | | $668.53 | $42,059.49 | $60,283.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,589.96 / $3,284.29 / $69,762.78
| Facility | | $2,589.96 | $3,284.29 | $69,762.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,400.00 / $58,374.40 / $94,428.93
| Facility | | $2,400.00 | $58,374.40 | $94,428.93 |