- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $25,708.00 / $39,629.40
| Facility | | $4,804.00 | $25,708.00 | $39,629.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,215.17 / $23,215.17 / $23,215.17
| Facility | | $23,215.17 | $23,215.17 | $23,215.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $26,467.61
| Facility | | $688.00 | $3,030.00 | $26,467.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,544.19 / $23,674.52 / $46,079.92
| Facility | | $14,544.19 | $23,674.52 | $46,079.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,909.30 / $55,504.17 / $55,504.17
| Facility | | $33,909.30 | $55,504.17 | $55,504.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,810.00 / $2,810.00 / $25,193.70
| Facility | | $2,810.00 | $2,810.00 | $25,193.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,376.00 / $21,606.52 / $50,399.47
| Facility | | $15,376.00 | $21,606.52 | $50,399.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $19,578.72 / $44,580.05
| Facility | | $5,257.00 | $19,578.72 | $44,580.05 |