- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $32,502.00 / $53,299.40
| Facility | | $4,804.00 | $32,502.00 | $53,299.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,536.23 / $25,536.23 / $25,536.23
| Facility | | $25,536.23 | $25,536.23 | $25,536.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $33,337.87
| Facility | | $688.00 | $3,030.00 | $33,337.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,634.00 / $32,753.17 / $61,975.00
| Facility | | $19,634.00 | $32,753.17 | $61,975.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,875.40 / $70,180.25 / $70,180.25
| Facility | | $42,875.40 | $70,180.25 | $70,180.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,984.34 / $29,059.60 / $67,784.56
| Facility | | $19,984.34 | $29,059.60 | $67,784.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $26,332.32 / $60,202.27
| Facility | | $5,257.00 | $26,332.32 | $60,202.27 |