- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $14,849.00 / $23,198.20
| Facility | | $4,804.00 | $14,849.00 | $23,198.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,507.24 / $15,201.92 / $19,442.53
| Facility | | $10,507.24 | $15,201.92 | $19,442.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,765.00 / $15,003.66
| Facility | | $687.00 | $2,765.00 | $15,003.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,948.76 / $15,349.50 / $27,302.67
| Facility | | $8,948.76 | $15,349.50 | $27,302.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,589.00 / $27,321.50 / $32,064.10
| Facility | | $19,589.00 | $27,321.50 | $32,064.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,973.20 / $22,868.00 / $102,661.10
| Facility | | $5,973.20 | $22,868.00 | $102,661.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,035.74 / $12,965.21 / $30,334.71
| Facility | | $9,035.74 | $12,965.21 | $30,334.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $13,031.73 / $28,058.89
| Facility | | $5,257.00 | $13,031.73 | $28,058.89 |