- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,790.00 / $32,707.00 / $45,710.10
| Facility | | $11,790.00 | $32,707.00 | $45,710.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,879.00 / $26,823.77 / $65,758.35
| Facility | | $7,879.00 | $26,823.77 | $65,758.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,992.63 / $54,787.64
| Facility | | $100.00 | $26,992.63 | $54,787.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,268.07 / $34,311.00 / $62,601.37
| Facility | | $23,268.07 | $34,311.00 | $62,601.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,868.55 / $52,083.10 / $61,123.94
| Facility | | $35,868.55 | $52,083.10 | $61,123.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,059.55 / $30,062.46 / $64,381.02
| Facility | | $23,059.55 | $30,062.46 | $64,381.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $28,930.36 / $56,077.67
| Facility | | $5,760.00 | $28,930.36 | $56,077.67 |