- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $33,951.40 / $56,897.00
| Facility | | $10,354.00 | $33,951.40 | $56,897.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,174.78 / $56,002.83 / $71,987.12
| Facility | | $36,174.78 | $56,002.83 | $71,987.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $44,869.06 / $71,740.89
| Facility | | $17,646.00 | $44,869.06 | $71,740.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,155.56 / $48,337.02 / $101,364.27
| Facility | | $25,155.56 | $48,337.02 | $101,364.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,401.00 / $18,401.00 / $18,401.00
| Facility | | $18,401.00 | $18,401.00 | $18,401.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $48,017.82 / $71,758.60
| Facility | | $17,648.00 | $48,017.82 | $71,758.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $32,128.90 / $61,716.85
| Facility | | $5,281.00 | $32,128.90 | $61,716.85 |