- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $36,363.00 / $68,390.89
| Facility | | $4,804.00 | $36,363.00 | $68,390.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,689.09 / $47,689.09 / $47,689.09
| Facility | | $47,689.09 | $47,689.09 | $47,689.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $38,662.49
| Facility | | $688.00 | $3,027.00 | $38,662.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,134.40 / $40,334.00 / $79,522.85
| Facility | | $24,134.40 | $40,334.00 | $79,522.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,973.10 / $78,524.39 / $78,524.39
| Facility | | $47,973.10 | $78,524.39 | $78,524.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,642.80 / $37,287.65 / $86,977.36
| Facility | | $25,642.80 | $37,287.65 | $86,977.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $33,788.16 / $77,248.17
| Facility | | $5,257.00 | $33,788.16 | $77,248.17 |