- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $31,790.60 / $48,001.50
| Facility | | $4,804.00 | $31,790.60 | $48,001.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,426.71 / $44,426.71 / $44,426.71
| Facility | | $44,426.71 | $44,426.71 | $44,426.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,767.00 / $31,959.31
| Facility | | $687.00 | $2,767.00 | $31,959.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,180.00 / $28,584.90 / $51,194.50
| Facility | | $18,180.00 | $28,584.90 | $51,194.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,587.90 / $71,346.50 / $71,346.50
| Facility | | $43,587.90 | $71,346.50 | $71,346.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,696.64 / $26,171.06 / $51,194.50
| Facility | | $18,696.64 | $26,171.06 | $51,194.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $23,714.88 / $54,218.14
| Facility | | $5,257.00 | $23,714.88 | $54,218.14 |