- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,548.00 / $34,130.50 / $57,856.90
| Facility | | $4,548.00 | $34,130.50 | $57,856.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,499.00 / $3,596.00 / $37,354.40
| Facility | | $1,499.00 | $3,596.00 | $37,354.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,812.00 / $14,641.26 / $36,582.19
| Facility | | $5,812.00 | $14,641.26 | $36,582.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $20,450.09 / $27,266.80
| Facility | | $2,200.00 | $20,450.09 | $27,266.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $21,339.83 / $34,064.80
| Facility | | $1,691.00 | $21,339.83 | $34,064.80 |
- 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 / $21,671.35 / $56,454.47
| Facility | | $3,775.00 | $21,671.35 | $56,454.47 |