- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $23,657.00 / $39,092.10
| Facility | | $4,804.00 | $23,657.00 | $39,092.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,756.39 / $17,756.39 / $23,448.57
| Facility | | $17,756.39 | $17,756.39 | $23,448.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,870.00 / $23,622.03
| Facility | | $687.00 | $2,870.00 | $23,622.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,657.40 / $25,576.30 / $46,917.48
| Facility | | $14,657.40 | $25,576.30 | $46,917.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,211.30 / $51,087.97 / $51,087.97
| Facility | | $31,211.30 | $51,087.97 | $51,087.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,737.13 / $18,584.29 / $25,738.39
| Facility | | $12,737.13 | $18,584.29 | $25,738.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,168.00 / $21,555.00 / $51,316.42
| Facility | | $15,168.00 | $21,555.00 | $51,316.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,432.00 / $18,970.12 / $43,975.65
| Facility | | $4,432.00 | $18,970.12 | $43,975.65 |