- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,559.00 / $18,235.00 / $39,734.30
| Facility | | $4,559.00 | $18,235.00 | $39,734.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,753.00 / $29,554.56
| Facility | | $687.00 | $2,753.00 | $29,554.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,196.88 / $28,169.88 / $53,302.56
| Facility | | $18,196.88 | $28,169.88 | $53,302.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,396.30 / $54,664.47 / $54,664.47
| Facility | | $33,396.30 | $54,664.47 | $54,664.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,047.24 / $26,398.52 / $58,299.17
| Facility | | $18,047.24 | $26,398.52 | $58,299.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,191.00 / $22,647.52 / $51,175.31
| Facility | | $8,191.00 | $22,647.52 | $51,175.31 |