- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,723.70 / $26,174.40 / $36,580.50
| Facility | | $2,723.70 | $26,174.40 | $36,580.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,852.00 / $5,852.00 / $5,852.00
| Facility | | $5,852.00 | $5,852.00 | $5,852.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,393.00 / $6,753.00 / $36,130.89
| Facility | | $1,393.00 | $6,753.00 | $36,130.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,684.00 / $17,247.37 / $39,264.06
| Facility | | $1,684.00 | $17,247.37 | $39,264.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.00 / $22,710.47 / $59,691.61
| Facility | | $6,500.00 | $22,710.47 | $59,691.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,424.18 / $38,369.35 / $45,029.69
| Facility | | $26,424.18 | $38,369.35 | $45,029.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,626.41 / $17,783.96 / $59,691.61
| Facility | | $16,626.41 | $17,783.96 | $59,691.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,889.77 / $43,219.68
| Facility | | $5,693.00 | $18,889.77 | $43,219.68 |