- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $14,448.00 / $28,380.60
| Facility | | $4,804.00 | $14,448.00 | $28,380.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $15,554.99
| Facility | | $688.00 | $3,030.00 | $15,554.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,748.81 / $17,652.00 / $34,061.69
| Facility | | $10,748.81 | $17,652.00 | $34,061.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,058.90 / $31,196.41 / $31,196.41
| Facility | | $19,058.90 | $31,196.41 | $31,196.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,162.20 / $68,162.20 / $68,162.20
| Facility | | $68,162.20 | $68,162.20 | $68,162.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,012.00 / $15,648.75 / $36,093.53
| Facility | | $11,012.00 | $15,648.75 | $36,093.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,882.41 / $14,021.28 / $32,056.15
| Facility | | $4,882.41 | $14,021.28 | $32,056.15 |