- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $24,452.40 / $40,474.30
| Facility | | $10,354.00 | $24,452.40 | $40,474.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $33,543.42 / $51,349.82
| Facility | | $1,613.00 | $33,543.42 | $51,349.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,453.80 / $32,481.17 / $51,933.96
| Facility | | $17,453.80 | $32,481.17 | $51,933.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,210.37 / $34,991.66 / $73,378.62
| Facility | | $18,210.37 | $34,991.66 | $73,378.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,429.11 / $14,429.11 / $14,429.11
| Facility | | $14,429.11 | $14,429.11 | $14,429.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $34,760.58 / $51,946.78
| Facility | | $17,648.00 | $34,760.58 | $51,946.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $23,415.00 / $44,677.45
| Facility | | $5,281.00 | $23,415.00 | $44,677.45 |