- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $23,282.00 / $35,426.40
| Facility | | $4,804.00 | $23,282.00 | $35,426.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,214.21 / $19,648.27 / $28,732.24
| Facility | | $13,214.21 | $19,648.27 | $28,732.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,767.00 / $25,810.73
| Facility | | $687.00 | $2,767.00 | $25,810.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,417.34 / $22,034.00 / $40,386.42
| Facility | | $13,417.34 | $22,034.00 | $40,386.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,713.50 / $50,273.15 / $50,273.15
| Facility | | $30,713.50 | $50,273.15 | $50,273.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,413.88 / $26,203.00 / $51,171.45
| Facility | | $4,413.88 | $26,203.00 | $51,171.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,798.64 / $19,533.75 / $43,508.00
| Facility | | $13,798.64 | $19,533.75 | $43,508.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $17,502.24 / $40,014.50
| Facility | | $5,257.00 | $17,502.24 | $40,014.50 |