- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $38,469.00 / $61,424.40
| Facility | | $4,804.00 | $38,469.00 | $61,424.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.00 / $2,753.00 / $37,690.37
| Facility | | $676.00 | $2,753.00 | $37,690.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.00 / $36,578.25 / $65,510.29
| Facility | | $22,908.00 | $36,578.25 | $65,510.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,750.90 / $83,071.21 / $83,071.21
| Facility | | $50,750.90 | $83,071.21 | $83,071.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,030.75 / $33,489.42 / $65,510.29
| Facility | | $23,030.75 | $33,489.42 | $65,510.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,567.05 / $27,311.76 / $68,572.03
| Facility | | $10,567.05 | $27,311.76 | $68,572.03 |