- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $16,576.00 / $27,260.70
| Facility | | $4,804.00 | $16,576.00 | $27,260.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,063.76 / $19,486.00 / $31,887.06
| Facility | | $16,063.76 | $19,486.00 | $31,887.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $690.00 / $2,860.00 / $16,618.28
| Facility | | $690.00 | $2,860.00 | $16,618.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,981.00 / $16,233.75 / $29,074.05
| Facility | | $9,981.00 | $16,233.75 | $29,074.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,869.00 / $35,796.10 / $35,796.10
| Facility | | $21,869.00 | $35,796.10 | $35,796.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,288.25 / $15,382.80 / $42,883.29
| Facility | | $5,288.25 | $15,382.80 | $42,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,221.25 / $14,862.90 / $34,669.28
| Facility | | $10,221.25 | $14,862.90 | $34,669.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,243.00 / $12,959.34 / $30,666.16
| Facility | | $2,243.00 | $12,959.34 | $30,666.16 |