- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,689.00 / $13,656.00 / $30,962.70
| Facility | | $4,689.00 | $13,656.00 | $30,962.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,335.69 / $19,303.00 / $25,687.40
| Facility | | $15,335.69 | $19,303.00 | $25,687.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $19,391.47
| Facility | | $688.00 | $3,030.00 | $19,391.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,212.00 / $18,225.24 / $36,002.49
| Facility | | $10,212.00 | $18,225.24 | $36,002.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,046.20 / $34,916.40 / $40,977.36
| Facility | | $24,046.20 | $34,916.40 | $40,977.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,787.32 / $25,381.02 / $56,003.09
| Facility | | $4,787.32 | $25,381.02 | $56,003.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,609.30 / $16,881.29 / $39,377.37
| Facility | | $11,609.30 | $16,881.29 | $39,377.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $15,296.96 / $34,972.67
| Facility | | $5,257.00 | $15,296.96 | $34,972.67 |