- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $30,107.00 / $48,212.30
| Facility | | $4,804.00 | $30,107.00 | $48,212.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $29,271.18
| Facility | | $688.00 | $3,027.00 | $29,271.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,259.84 / $28,801.90 / $51,419.35
| Facility | | $18,259.84 | $28,801.90 | $51,419.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,719.50 / $65,014.55 / $65,014.55
| Facility | | $39,719.50 | $65,014.55 | $65,014.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,141.02 / $25,141.02 / $25,141.02
| Facility | | $25,141.02 | $25,141.02 | $25,141.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,706.00 / $26,583.75 / $51,419.35
| Facility | | $18,706.00 | $26,583.75 | $51,419.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $23,819.04 / $54,456.28
| Facility | | $5,257.00 | $23,819.04 | $54,456.28 |