- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $26,278.00 / $41,638.00
| Facility | | $4,804.00 | $26,278.00 | $41,638.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,600.67 / $24,661.15 / $37,817.60
| Facility | | $22,600.67 | $24,661.15 | $37,817.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,767.00 / $26,307.08
| Facility | | $687.00 | $2,767.00 | $26,307.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,061.94 / $27,550.50 / $49,972.93
| Facility | | $16,061.94 | $27,550.50 | $49,972.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,667.40 / $56,745.06 / $56,745.06
| Facility | | $34,667.40 | $56,745.06 | $56,745.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,690.03 / $43,690.03 / $52,131.40
| Facility | | $43,690.03 | $43,690.03 | $52,131.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.06 / $23,270.99 / $54,658.36
| Facility | | $16,218.06 | $23,270.99 | $54,658.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $20,571.04 / $47,030.54
| Facility | | $5,257.00 | $20,571.04 | $47,030.54 |