- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,798.00 / $34,651.30 / $54,243.00
| Facility | | $8,798.00 | $34,651.30 | $54,243.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,514.67 / $24,514.67 / $24,514.67
| Facility | | $24,514.67 | $24,514.67 | $24,514.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,821.56 / $20,493.00 / $41,069.75
| Facility | | $9,821.56 | $20,493.00 | $41,069.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,351.87 / $33,880.37 / $51,753.51
| Facility | | $18,351.87 | $33,880.37 | $51,753.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,455.14 / $40,455.14 / $49,124.10
| Facility | | $40,455.14 | $40,455.14 | $49,124.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,449.69 / $19,628.53 / $41,677.39
| Facility | | $11,449.69 | $19,628.53 | $41,677.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,045.00 / $31,282.90 / $53,162.70
| Facility | | $7,045.00 | $31,282.90 | $53,162.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,351.87 / $32,814.87 / $51,186.38
| Facility | | $18,351.87 | $32,814.87 | $51,186.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,363.30 / $20,472.87
| Facility | | $2,621.40 | $14,363.30 | $20,472.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,700.00 / $27,972.00 / $51,419.61
| Facility | | $5,700.00 | $27,972.00 | $51,419.61 |