- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $12,846.00 / $24,760.20
| Facility | | $4,804.00 | $12,846.00 | $24,760.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $14,908.73
| Facility | | $688.00 | $3,030.00 | $14,908.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,829.79 / $17,521.07 / $30,955.13
| Facility | | $9,829.79 | $17,521.07 | $30,955.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $48,537.00 / $48,537.00
| Facility | | $48,537.00 | $48,537.00 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,736.74 / $8,736.74 / $8,736.74
| Facility | | $8,736.74 | $8,736.74 | $8,736.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,747.89 / $14,258.67 / $32,832.62
| Facility | | $9,747.89 | $14,258.67 | $32,832.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.89 / $12,043.52 / $27,641.40
| Facility | | $4,677.89 | $12,043.52 | $27,641.40 |