- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,559.00 / $20,648.70 / $35,213.00
| Facility | | $4,559.00 | $20,648.70 | $35,213.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,759.00 / $23,841.61
| Facility | | $687.00 | $2,759.00 | $23,841.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,402.70 / $27,147.49 / $50,020.00
| Facility | | $14,402.70 | $27,147.49 | $50,020.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,343.00 / $49,666.70 / $49,666.70
| Facility | | $30,343.00 | $49,666.70 | $49,666.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,600.00 / $17,600.00 / $18,550.00
| Facility | | $17,600.00 | $17,600.00 | $18,550.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,401.10 / $22,293.78 / $50,836.73
| Facility | | $14,401.10 | $22,293.78 | $50,836.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,825.65 / $24,381.00 / $40,810.85
| Facility | | $8,825.65 | $24,381.00 | $40,810.85 |