- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $24,074.50 / $38,491.40
| Facility | | $4,804.00 | $24,074.50 | $38,491.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $24,492.79
| Facility | | $688.00 | $3,030.00 | $24,492.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,281.10 / $25,981.27 / $46,196.46
| Facility | | $15,281.10 | $25,981.27 | $46,196.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $52,674.07 / $52,674.07
| Facility | | $48,537.00 | $52,674.07 | $52,674.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,018.57 / $22,018.57 / $22,018.57
| Facility | | $22,018.57 | $22,018.57 | $22,018.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,153.76 / $22,166.08 / $49,700.93
| Facility | | $15,153.76 | $22,166.08 | $49,700.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $19,016.48 / $43,476.43
| Facility | | $5,257.00 | $19,016.48 | $43,476.43 |