- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $24,054.00 / $36,473.80
| Facility | | $4,804.00 | $24,054.00 | $36,473.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,305.34 / $16,305.34 / $31,713.58
| Facility | | $16,305.34 | $16,305.34 | $31,713.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $577.00 / $1,187.00 / $2,495.00
| Facility | | $577.00 | $1,187.00 | $2,495.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,480.10 / $34,219.69 / $48,365.14
| Facility | | $14,480.10 | $34,219.69 | $48,365.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,733.80 / $51,943.22 / $51,943.22
| Facility | | $31,733.80 | $51,943.22 | $51,943.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,871.20 / $18,270.27 / $48,365.14
| Facility | | $12,871.20 | $18,270.27 | $48,365.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,432.00 / $18,019.68 / $41,030.17
| Facility | | $4,432.00 | $18,019.68 | $41,030.17 |