- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,715.00 / $18,056.40 / $31,724.90
| Facility | | $2,715.00 | $18,056.40 | $31,724.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,776.00 / $31,691.54 / $49,954.00
| Facility | | $15,776.00 | $31,691.54 | $49,954.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,397.53 / $27,662.02 / $40,717.41
| Facility | | $19,397.53 | $27,662.02 | $40,717.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,788.00 / $20,725.00 / $31,537.00
| Facility | | $7,788.00 | $20,725.00 | $31,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,575.00 / $26,000.00 / $40,941.89
| Facility | | $10,575.00 | $26,000.00 | $40,941.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,700.00 / $21,253.00 / $37,256.44
| Facility | | $5,700.00 | $21,253.00 | $37,256.44 |