- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,462.00 / $17,894.00 / $41,616.19
| Facility | | $4,462.00 | $17,894.00 | $41,616.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,065.05 / $28,555.29 / $39,617.92
| Facility | | $23,065.05 | $28,555.29 | $39,617.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $682.00 / $3,059.00 / $30,333.38
| Facility | | $682.00 | $3,059.00 | $30,333.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,955.00 / $26,518.65 / $52,725.27
| Facility | | $14,955.00 | $26,518.65 | $52,725.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,466.10 / $61,326.09 / $61,326.09
| Facility | | $37,466.10 | $61,326.09 | $61,326.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,525.08 / $99,011.55 / $120,165.77
| Facility | | $32,525.08 | $99,011.55 | $120,165.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,001.70 / $24,722.47 / $57,667.77
| Facility | | $17,001.70 | $24,722.47 | $57,667.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,250.83 / $18,001.80 / $40,100.01
| Facility | | $8,250.83 | $18,001.80 | $40,100.01 |