- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $22,271.80 / $33,628.69
| Facility | | $4,804.00 | $22,271.80 | $33,628.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,030.00 / $23,966.48
| Facility | | $688.00 | $3,030.00 | $23,966.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,736.47 / $20,916.00 / $39,102.42
| Facility | | $12,736.47 | $20,916.00 | $39,102.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,315.80 / $51,259.02 / $51,259.02
| Facility | | $31,315.80 | $51,259.02 | $51,259.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,048.00 / $18,542.50 / $42,767.91
| Facility | | $13,048.00 | $18,542.50 | $42,767.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,785.26 / $16,614.08 / $37,829.67
| Facility | | $5,785.26 | $16,614.08 | $37,829.67 |