- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $26,733.00 / $42,277.30
| Facility | | $4,804.00 | $26,733.00 | $42,277.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $26,992.46
| Facility | | $688.00 | $3,027.00 | $26,992.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,515.97 / $25,176.15 / $45,089.55
| Facility | | $15,515.97 | $25,176.15 | $45,089.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,269.69 / $57,730.93 / $57,730.93
| Facility | | $35,269.69 | $57,730.93 | $57,730.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,680.00 / $1,680.00 / $1,680.00
| Facility | | $1,680.00 | $1,680.00 | $1,680.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,404.00 / $23,050.16 / $45,089.55
| Facility | | $16,404.00 | $23,050.16 | $45,089.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $20,886.88 / $47,558.68
| Facility | | $5,257.00 | $20,886.88 | $47,558.68 |