- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,505.00 / $48,046.10 / $81,446.10
| Facility | | $4,505.00 | $48,046.10 | $81,446.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,499.00 / $3,596.00 / $49,128.35
| Facility | | $1,499.00 | $3,596.00 | $49,128.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,812.00 / $20,610.75 / $51,497.40
| Facility | | $5,812.00 | $20,610.75 | $51,497.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $25,562.50 / $34,799.60
| Facility | | $2,200.00 | $25,562.50 | $34,799.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $28,105.90 / $45,422.19
| Facility | | $1,691.00 | $28,105.90 | $45,422.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $2,955.34 / $3,794.00
| Facility | | $1,500.00 | $2,955.34 | $3,794.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,507.14 / $79,471.95
| Facility | | $3,775.00 | $30,507.14 | $79,471.95 |