- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $23,886.00 / $37,131.19
| Facility | | $4,804.00 | $23,886.00 | $37,131.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,607.15 / $17,607.15 / $21,797.59
| Facility | | $17,607.15 | $17,607.15 | $21,797.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,870.00 / $24,421.60
| Facility | | $687.00 | $2,870.00 | $24,421.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,063.01 / $23,094.00 / $43,175.04
| Facility | | $14,063.01 | $23,094.00 | $43,175.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,513.40 / $51,582.46 / $51,582.46
| Facility | | $31,513.40 | $51,582.46 | $51,582.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,562.09 / $16,562.09 / $16,562.09
| Facility | | $16,562.09 | $16,562.09 | $16,562.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,462.66 / $20,473.75 / $47,222.29
| Facility | | $14,462.66 | $20,473.75 | $47,222.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $18,344.48 / $41,769.73
| Facility | | $5,257.00 | $18,344.48 | $41,769.73 |