- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $30,412.00 / $48,484.30
| Facility | | $4,804.00 | $30,412.00 | $48,484.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,479.78 / $28,678.69 / $31,623.37
| Facility | | $25,479.78 | $28,678.69 | $31,623.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,767.00 / $30,442.17
| Facility | | $687.00 | $2,767.00 | $30,442.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,702.93 / $31,915.82 / $58,189.75
| Facility | | $18,702.93 | $31,915.82 | $58,189.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,116.60 / $65,664.53 / $65,664.53
| Facility | | $40,116.60 | $65,664.53 | $65,664.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,061.59 / $25,061.59 / $33,165.00
| Facility | | $25,061.59 | $25,061.59 | $33,165.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,884.72 / $27,097.33 / $63,645.57
| Facility | | $18,884.72 | $27,097.33 | $63,645.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $23,953.44 / $54,541.13
| Facility | | $5,257.00 | $23,953.44 | $54,541.13 |