- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $32,363.00 / $52,755.40
| Facility | | $4,804.00 | $32,363.00 | $52,755.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $33,763.51
| Facility | | $688.00 | $3,030.00 | $33,763.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,780.34 / $32,418.83 / $61,342.36
| Facility | | $19,780.34 | $32,418.83 | $61,342.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,694.90 / $69,884.81 / $69,884.81
| Facility | | $42,694.90 | $69,884.81 | $69,884.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,469.00 / $28,762.96 / $67,092.62
| Facility | | $20,469.00 | $28,762.96 | $67,092.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $26,063.52 / $59,587.72
| Facility | | $5,257.00 | $26,063.52 | $59,587.72 |