- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $32,359.37 / $95,499.26
| Facility | | $14,454.40 | $32,359.37 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $8,709.64 / $33,884.42
| Facility | | $2,818.38 | $8,709.64 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $14,454.40 / $46,773.51
| Facility | | $10,964.78 | $14,454.40 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $83.18
| Facility | | $83.18 | $83.18 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $35,481.34 / $35,481.34
| Facility | | $12,589.25 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $33,884.42 / $63,095.73
| Facility | | $9,772.37 | $33,884.42 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $208.93 / $316.23
| Facility | | $117.49 | $208.93 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $12,589.25 / $35,481.34
| Facility | | $12,589.25 | $12,589.25 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $14,454.40 / $30,902.95
| Facility | | $14,454.40 | $14,454.40 | $30,902.95 |