- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $33,680.00 / $55,750.10
| Facility | | $4,804.00 | $33,680.00 | $55,750.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,693.28 / $32,693.28 / $32,693.28
| Facility | | $32,693.28 | $32,693.28 | $32,693.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $35,789.93
| Facility | | $688.00 | $3,030.00 | $35,789.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,460.54 / $33,199.19 / $64,824.51
| Facility | | $20,460.54 | $33,199.19 | $64,824.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,433.40 / $72,730.46 / $72,730.46
| Facility | | $44,433.40 | $72,730.46 | $72,730.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,065.00 / $30,395.71 / $70,901.20
| Facility | | $21,065.00 | $30,395.71 | $70,901.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $27,543.04 / $62,970.28
| Facility | | $5,257.00 | $27,543.04 | $62,970.28 |