- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $22,708.00 / $38,695.40
| Facility | | $4,804.00 | $22,708.00 | $38,695.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $23,513.16
| Facility | | $688.00 | $3,027.00 | $23,513.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,762.00 / $22,776.87 / $44,113.12
| Facility | | $12,762.00 | $22,776.87 | $44,113.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,957.30 / $49,035.37 / $49,035.37
| Facility | | $29,957.30 | $49,035.37 | $49,035.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,249.40 / $5,249.40 / $5,249.40
| Facility | | $5,249.40 | $5,249.40 | $5,249.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,014.00 / $21,097.28 / $49,211.63
| Facility | | $15,014.00 | $21,097.28 | $49,211.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,193.12 / $18,977.00 / $36,484.99
| Facility | | $8,193.12 | $18,977.00 | $36,484.99 |