- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,505.00 / $50,709.50 / $85,961.00
| Facility | | $4,505.00 | $50,709.50 | $85,961.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,499.00 / $3,596.00 / $46,606.63
| Facility | | $1,499.00 | $3,596.00 | $46,606.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,812.00 / $21,753.29 / $54,352.11
| Facility | | $5,812.00 | $21,753.29 | $54,352.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $20,802.90 / $30,046.46
| Facility | | $2,200.00 | $20,802.90 | $30,046.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $26,469.96 / $43,415.40
| Facility | | $1,691.00 | $26,469.96 | $43,415.40 |
- 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
- $13,728.11 / $18,963.50 / $46,526.15
| Facility | | $13,728.11 | $18,963.50 | $46,526.15 |