- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $24,118.50 / $36,417.10
| Facility | | $4,804.00 | $24,118.50 | $36,417.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $24,372.19
| Facility | | $688.00 | $3,030.00 | $24,372.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,792.55 / $22,378.76 / $42,344.70
| Facility | | $13,792.55 | $22,378.76 | $42,344.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,117.60 / $52,571.44 / $52,571.44
| Facility | | $32,117.60 | $52,571.44 | $52,571.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,130.00 / $20,080.00 / $46,314.12
| Facility | | $14,130.00 | $20,080.00 | $46,314.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $17,991.68 / $41,133.48
| Facility | | $5,257.00 | $17,991.68 | $41,133.48 |