- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $28,250.00 / $47,140.00
| Facility | | $4,804.00 | $28,250.00 | $47,140.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $30,014.20
| Facility | | $688.00 | $3,030.00 | $30,014.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,038.41 / $29,320.00 / $62,508.84
| Facility | | $16,038.41 | $29,320.00 | $62,508.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,262.80 / $60,993.32 / $60,993.32
| Facility | | $37,262.80 | $60,993.32 | $60,993.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,620.90 / $39,620.90 / $63,682.36
| Facility | | $39,620.90 | $39,620.90 | $63,682.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,674.90 / $25,992.50 / $62,508.84
| Facility | | $17,674.90 | $25,992.50 | $62,508.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,906.07 / $20,960.34 / $46,318.64
| Facility | | $8,906.07 | $20,960.34 | $46,318.64 |