- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $27,542.29 / $43,651.58
| Facility | | $17,378.01 | $27,542.29 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $19,498.45 / $35,481.34
| Facility | | $10,000.00 | $19,498.45 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $30,199.52 / $52,480.75
| Facility | | $16,982.44 | $30,199.52 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $67,608.30 / $67,608.30
| Facility | | $67,608.30 | $67,608.30 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $26,915.35 / $43,651.58
| Facility | | $13,803.84 | $26,915.35 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $24,547.09 / $56,234.13
| Facility | | $16,982.44 | $24,547.09 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $20,892.96 / $47,863.01
| Facility | | $7,079.46 | $20,892.96 | $47,863.01 |