- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $22,950.00 / $36,324.10
| Facility | | $4,804.00 | $22,950.00 | $36,324.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,146.81 / $19,518.56 / $24,223.41
| Facility | | $19,146.81 | $19,518.56 | $24,223.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $24,284.94
| Facility | | $688.00 | $3,030.00 | $24,284.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,420.70 / $23,155.00 / $42,236.63
| Facility | | $14,420.70 | $23,155.00 | $42,236.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,081.38 / $42,227.75 / $49,557.85
| Facility | | $29,081.38 | $42,227.75 | $49,557.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,300.53 / $20,918.03 / $46,195.91
| Facility | | $14,300.53 | $20,918.03 | $46,195.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,609.49 / $17,267.99 / $40,551.01
| Facility | | $6,609.49 | $17,267.99 | $40,551.01 |