- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $27,096.00 / $40,951.10
| Facility | | $4,804.00 | $27,096.00 | $40,951.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $30,045.86
| Facility | | $688.00 | $3,030.00 | $30,045.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,012.99 / $25,470.00 / $54,302.19
| Facility | | $15,012.99 | $25,470.00 | $54,302.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,825.80 / $60,278.02 / $60,278.02
| Facility | | $36,825.80 | $60,278.02 | $60,278.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,950.51 / $23,022.36 / $54,302.19
| Facility | | $15,950.51 | $23,022.36 | $54,302.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,736.81 / $22,068.79 / $40,237.56
| Facility | | $7,736.81 | $22,068.79 | $40,237.56 |