- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $31,241.00 / $52,025.40
| Facility | | $4,804.00 | $31,241.00 | $52,025.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,864.05 / $29,864.05 / $29,864.05
| Facility | | $29,864.05 | $29,864.05 | $29,864.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $31,194.53
| Facility | | $688.00 | $3,027.00 | $31,194.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,704.00 / $32,358.00 / $55,486.09
| Facility | | $19,704.00 | $32,358.00 | $55,486.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,589.73 / $57,486.45 / $67,465.23
| Facility | | $39,589.73 | $57,486.45 | $67,465.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,931.42 / $2,931.42 / $2,931.42
| Facility | | $2,931.42 | $2,931.42 | $2,931.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,186.00 / $28,686.25 / $55,486.09
| Facility | | $20,186.00 | $28,686.25 | $55,486.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $25,702.88 / $58,763.21
| Facility | | $5,257.00 | $25,702.88 | $58,763.21 |