- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $32,761.00 / $54,192.60
| Facility | | $4,804.00 | $32,761.00 | $54,192.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,002.35 / $41,002.35 / $41,002.35
| Facility | | $41,002.35 | $41,002.35 | $41,002.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $34,110.49
| Facility | | $688.00 | $3,030.00 | $34,110.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,319.25 / $33,302.06 / $63,013.58
| Facility | | $20,319.25 | $33,302.06 | $63,013.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,515.10 / $60,282.20 / $70,746.28
| Facility | | $41,515.10 | $60,282.20 | $70,746.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,027.00 / $29,881.25 / $68,920.50
| Facility | | $21,027.00 | $29,881.25 | $68,920.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,238.51 / $29,133.00 / $53,248.39
| Facility | | $10,238.51 | $29,133.00 | $53,248.39 |