- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,723.70 / $32,266.90 / $45,095.10
| Facility | | $2,723.70 | $32,266.90 | $45,095.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,177.53 / $31,947.10 / $37,654.00
| Facility | | $24,177.53 | $31,947.10 | $37,654.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,393.00 / $6,753.00 / $44,438.08
| Facility | | $1,393.00 | $6,753.00 | $44,438.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,932.34 / $48,034.12
| Facility | | $100.00 | $23,932.34 | $48,034.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.00 / $27,996.64 / $73,585.63
| Facility | | $6,500.00 | $27,996.64 | $73,585.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,499.60 / $47,191.20 / $55,382.88
| Facility | | $32,499.60 | $47,191.20 | $55,382.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,403.66 / $21,722.80 / $30,746.06
| Facility | | $20,403.66 | $21,722.80 | $30,746.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,286.61 / $53,279.65
| Facility | | $5,693.00 | $23,286.61 | $53,279.65 |