- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $26,933.60 / $40,667.69
| Facility | | $4,804.00 | $26,933.60 | $40,667.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,295.82 / $25,852.85 / $33,807.54
| Facility | | $9,295.82 | $25,852.85 | $33,807.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $28,005.13
| Facility | | $688.00 | $3,030.00 | $28,005.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,402.43 / $25,294.00 / $47,287.20
| Facility | | $15,402.43 | $25,294.00 | $47,287.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,343.19 / $59,488.08 / $59,488.08
| Facility | | $36,343.19 | $59,488.08 | $59,488.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,751.75 / $98,751.75 / $98,751.75
| Facility | | $98,751.75 | $98,751.75 | $98,751.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,840.14 / $22,423.75 / $51,719.93
| Facility | | $15,840.14 | $22,423.75 | $51,719.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,399.84 / $22,845.32 / $49,188.74
| Facility | | $7,399.84 | $22,845.32 | $49,188.74 |