- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $32,849.10 / $49,599.70
| Facility | | $4,804.00 | $32,849.10 | $49,599.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,650.40 / $42,650.40 / $42,650.40
| Facility | | $42,650.40 | $42,650.40 | $42,650.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $33,644.47
| Facility | | $688.00 | $3,030.00 | $33,644.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,597.15 / $30,479.63 / $57,673.04
| Facility | | $18,597.15 | $30,479.63 | $57,673.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,382.70 / $71,010.63 / $71,010.63
| Facility | | $43,382.70 | $71,010.63 | $71,010.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,319.16 / $27,042.44 / $63,079.34
| Facility | | $19,319.16 | $27,042.44 | $63,079.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $24,504.48 / $56,023.37
| Facility | | $5,257.00 | $24,504.48 | $56,023.37 |