- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $23,301.50 / $45,487.40
| Facility | | $4,804.00 | $23,301.50 | $45,487.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,849.16 / $24,277.19 / $34,990.56
| Facility | | $16,849.16 | $24,277.19 | $34,990.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $652.00 / $2,690.00 / $26,276.93
| Facility | | $652.00 | $2,690.00 | $26,276.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,476.13 / $26,774.74 / $52,891.34
| Facility | | $15,476.13 | $26,774.74 | $52,891.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,822.60 / $58,635.94 / $58,635.94
| Facility | | $35,822.60 | $58,635.94 | $58,635.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,705.66 / $61,389.96 / $148,204.35
| Facility | | $40,705.66 | $61,389.96 | $148,204.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,649.00 / $24,306.74 / $57,849.40
| Facility | | $17,649.00 | $24,306.74 | $57,849.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,679.00 / $22,073.51 / $40,729.94
| Facility | | $7,679.00 | $22,073.51 | $40,729.94 |