- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $32,989.00 / $50,053.10
| Facility | | $4,804.00 | $32,989.00 | $50,053.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,601.09 / $30,806.70 / $44,011.57
| Facility | | $25,601.09 | $30,806.70 | $44,011.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $32,329.87
| Facility | | $688.00 | $3,027.00 | $32,329.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,767.15 / $29,806.65 / $53,382.61
| Facility | | $18,767.15 | $29,806.65 | $53,382.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,797.98 / $60,692.95 / $71,228.33
| Facility | | $41,797.98 | $60,692.95 | $71,228.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,421.00 / $27,289.64 / $53,382.61
| Facility | | $19,421.00 | $27,289.64 | $53,382.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $24,728.48 / $56,535.49
| Facility | | $5,257.00 | $24,728.48 | $56,535.49 |