- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $37,281.00 / $58,207.50
| Facility | | $4,804.00 | $37,281.00 | $58,207.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $37,640.83
| Facility | | $688.00 | $3,027.00 | $37,640.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,824.60 / $36,203.00 / $67,681.94
| Facility | | $21,824.60 | $36,203.00 | $67,681.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,183.40 / $80,505.46 / $80,505.46
| Facility | | $49,183.40 | $80,505.46 | $80,505.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,671.91 / $32,095.00 / $74,026.48
| Facility | | $22,671.91 | $32,095.00 | $74,026.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,774.00 / $25,881.41 / $64,980.82
| Facility | | $4,774.00 | $25,881.41 | $64,980.82 |