- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $32,531.00 / $49,844.50
| Facility | | $4,804.00 | $32,531.00 | $49,844.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,325.94 / $29,504.25 / $45,319.56
| Facility | | $28,325.94 | $29,504.25 | $45,319.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,899.00 / $35,398.83
| Facility | | $687.00 | $2,899.00 | $35,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,788.30 / $34,233.76 / $59,822.23
| Facility | | $19,788.30 | $34,233.76 | $59,822.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,905.80 / $70,230.02 / $70,230.02
| Facility | | $42,905.80 | $70,230.02 | $70,230.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,623.59 / $29,682.45 / $65,431.11
| Facility | | $19,623.59 | $29,682.45 | $65,431.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,069.64 / $27,483.75 / $57,423.45
| Facility | | $9,069.64 | $27,483.75 | $57,423.45 |