- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $40,446.00 / $65,747.50
| Facility | | $4,804.00 | $40,446.00 | $65,747.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,973.11 / $36,482.46 / $63,137.10
| Facility | | $31,973.11 | $36,482.46 | $63,137.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $42,064.22
| Facility | | $688.00 | $3,027.00 | $42,064.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,685.00 / $39,277.41 / $76,449.27
| Facility | | $21,685.00 | $39,277.41 | $76,449.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,359.60 / $87,341.24 / $87,341.24
| Facility | | $53,359.60 | $87,341.24 | $87,341.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.76 / $35,846.47 / $83,615.67
| Facility | | $25,118.76 | $35,846.47 | $83,615.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $32,482.24 / $74,262.52
| Facility | | $5,257.00 | $32,482.24 | $74,262.52 |