- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $26,401.00 / $44,043.30
| Facility | | $4,804.00 | $26,401.00 | $44,043.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $27,308.46
| Facility | | $688.00 | $3,030.00 | $27,308.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,513.80 / $27,393.00 / $51,212.21
| Facility | | $16,513.80 | $27,393.00 | $51,212.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,454.08 / $48,577.15 / $57,009.41
| Facility | | $33,454.08 | $48,577.15 | $57,009.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,663.78 / $24,663.78 / $24,663.78
| Facility | | $24,663.78 | $24,663.78 | $24,663.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,089.00 / $24,285.00 / $56,012.87
| Facility | | $17,089.00 | $24,285.00 | $56,012.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,321.01 / $23,752.67 / $43,275.87
| Facility | | $8,321.01 | $23,752.67 | $43,275.87 |