- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,336.00 / $36,063.30 / $61,133.30
| Facility | | $6,336.00 | $36,063.30 | $61,133.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,979.68 / $9,381.85 / $26,965.75
| Facility | | $3,979.68 | $9,381.85 | $26,965.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,798.75 / $5,511.56 / $23,689.41
| Facility | | $2,798.75 | $5,511.56 | $23,689.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.00 / $26,667.67 / $44,314.97
| Facility | | $2,570.00 | $26,667.67 | $44,314.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $6,268.08 / $30,984.80
| Facility | | $2,000.00 | $6,268.08 | $30,984.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,380.78 / $7,922.00 / $22,884.05
| Facility | | $3,380.78 | $7,922.00 | $22,884.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,900.00 / $4,900.00 / $6,466.25
| Facility | | $2,900.00 | $4,900.00 | $6,466.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,200.00 / $9,763.08 / $38,944.57
| Facility | | $1,200.00 | $9,763.08 | $38,944.57 |