- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,841.00 / $26,204.70 / $43,374.60
| Facility | | $10,841.00 | $26,204.70 | $43,374.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,057.05 / $43,054.15 / $60,956.40
| Facility | | $29,057.05 | $43,054.15 | $60,956.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $34,808.74 / $55,655.51
| Facility | | $17,646.00 | $34,808.74 | $55,655.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,515.31 / $37,499.14 / $78,636.88
| Facility | | $19,515.31 | $37,499.14 | $78,636.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,901.72 / $13,901.72 / $13,901.72
| Facility | | $13,901.72 | $13,901.72 | $13,901.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $37,251.50 / $55,669.25
| Facility | | $17,648.00 | $37,251.50 | $55,669.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $24,925.12 / $47,879.00
| Facility | | $5,281.00 | $24,925.12 | $47,879.00 |