- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $27,518.00 / $47,239.70
| Facility | | $4,804.00 | $27,518.00 | $47,239.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $30,002.27
| Facility | | $688.00 | $3,030.00 | $30,002.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,891.50 / $29,382.00 / $54,928.97
| Facility | | $17,891.50 | $29,382.00 | $54,928.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,301.40 / $59,419.66 / $59,419.66
| Facility | | $36,301.40 | $59,419.66 | $59,419.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,237.19 / $36,237.19 / $36,237.19
| Facility | | $36,237.19 | $36,237.19 | $36,237.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,329.00 / $26,047.50 / $60,078.04
| Facility | | $18,329.00 | $26,047.50 | $60,078.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $23,338.56 / $53,357.78
| Facility | | $5,257.00 | $23,338.56 | $53,357.78 |