- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $22,720.50 / $36,364.90
| Facility | | $4,804.00 | $22,720.50 | $36,364.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,747.16 / $21,963.01 / $31,431.79
| Facility | | $13,747.16 | $21,963.01 | $31,431.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $23,665.71
| Facility | | $688.00 | $3,027.00 | $23,665.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,634.85 / $21,405.11 / $38,783.93
| Facility | | $13,634.85 | $21,405.11 | $38,783.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $51,047.54 / $51,047.54
| Facility | | $48,537.00 | $51,047.54 | $51,047.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,753.71 / $44,336.38 / $85,895.36
| Facility | | $8,753.71 | $44,336.38 | $85,895.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,170.62 / $20,051.25 / $40,531.00
| Facility | | $14,170.62 | $20,051.25 | $40,531.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,565.00 / $19,611.73 / $35,731.33
| Facility | | $7,565.00 | $19,611.73 | $35,731.33 |