- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $27,713.20 / $75,318.00
| Facility | | $10,354.00 | $27,713.20 | $75,318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,004.88 / $44,458.56 / $61,117.00
| Facility | | $30,004.88 | $44,458.56 | $61,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $34,772.26 / $55,597.19
| Facility | | $17,646.00 | $34,772.26 | $55,597.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,494.86 / $37,459.83 / $78,554.48
| Facility | | $19,494.86 | $37,459.83 | $78,554.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,660.90 / $14,660.90 / $14,660.90
| Facility | | $14,660.90 | $14,660.90 | $14,660.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $37,212.47 / $55,610.91
| Facility | | $17,648.00 | $37,212.47 | $55,610.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $24,899.00 / $47,828.83
| Facility | | $5,281.00 | $24,899.00 | $47,828.83 |