- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $6,732.07 / $24,068.03
| Facility | | $2,318.31 | $6,732.07 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,881.23 / $30,095.07 / $58,213.58
| Facility | | $22,881.23 | $30,095.07 | $58,213.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,260.23 / $40,260.23 / $40,260.23
| Facility | | $40,260.23 | $40,260.23 | $40,260.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $543.94 / $980.93 / $44,635.00
| Facility | | $543.94 | $980.93 | $44,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,098.59 / $1,472.09 / $50,996.29
| Facility | | $1,098.59 | $1,472.09 | $50,996.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,221.00 / $14,989.00 / $44,635.00
| Facility | | $11,221.00 | $14,989.00 | $44,635.00 |