- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $20,024.00 / $31,642.80
| Facility | | $4,804.00 | $20,024.00 | $31,642.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,788.35 / $14,788.35 / $28,842.62
| Facility | | $14,788.35 | $14,788.35 | $28,842.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.00 / $2,690.00 / $18,813.31
| Facility | | $675.00 | $2,690.00 | $18,813.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,864.30 / $19,444.89 / $36,073.06
| Facility | | $11,864.30 | $19,444.89 | $36,073.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,417.60 / $43,241.44 / $43,241.44
| Facility | | $26,417.60 | $43,241.44 | $43,241.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,324.91 / $17,252.09 / $40,242.31
| Facility | | $12,324.91 | $17,252.09 | $40,242.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,978.21 / $17,733.00 / $36,454.11
| Facility | | $5,978.21 | $17,733.00 | $36,454.11 |