- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $31,383.00 / $48,547.80
| Facility | | $4,804.00 | $31,383.00 | $48,547.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,560.22 / $26,766.88 / $28,619.57
| Facility | | $21,560.22 | $26,766.88 | $28,619.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $31,415.38
| Facility | | $688.00 | $3,030.00 | $31,415.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,386.91 / $30,195.00 / $56,449.94
| Facility | | $18,386.91 | $30,195.00 | $56,449.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,764.93 / $57,740.85 / $67,763.78
| Facility | | $39,764.93 | $57,740.85 | $67,763.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,935.60 / $43,189.45 / $768,869.74
| Facility | | $9,935.60 | $43,189.45 | $768,869.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,909.45 / $26,768.75 / $61,741.59
| Facility | | $18,909.45 | $26,768.75 | $61,741.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $23,984.80 / $54,835.25
| Facility | | $5,257.00 | $23,984.80 | $54,835.25 |