- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,723.70 / $30,292.40 / $41,575.60
| Facility | | $2,723.70 | $30,292.40 | $41,575.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,393.00 / $4,175.00 / $35,042.46
| Facility | | $1,393.00 | $4,175.00 | $35,042.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,542.37 / $41,312.04
| Facility | | $100.00 | $22,542.37 | $41,312.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.00 / $25,811.58 / $67,842.49
| Facility | | $6,500.00 | $25,811.58 | $67,842.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,481.15 / $44,260.30 / $51,943.22
| Facility | | $30,481.15 | $44,260.30 | $51,943.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,147.62 / $20,413.02 / $30,746.06
| Facility | | $19,147.62 | $20,413.02 | $30,746.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,469.16 / $49,121.33
| Facility | | $5,693.00 | $21,469.16 | $49,121.33 |