- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,723.70 / $37,021.50 / $50,811.20
| Facility | | $2,723.70 | $37,021.50 | $50,811.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,393.00 / $4,175.00 / $38,896.67
| Facility | | $1,393.00 | $4,175.00 | $38,896.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.10 / $18,635.97 / $41,633.11
| Facility | | $93.10 | $18,635.97 | $41,633.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.00 / $31,545.35 / $82,912.97
| Facility | | $6,500.00 | $31,545.35 | $82,912.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,833.68 / $49,128.35 / $57,656.29
| Facility | | $33,833.68 | $49,128.35 | $57,656.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,261.46 / $22,617.29 / $38,432.58
| Facility | | $21,261.46 | $22,617.29 | $38,432.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,238.31 / $60,033.11
| Facility | | $5,693.00 | $26,238.31 | $60,033.11 |