- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $26,262.00 / $41,504.19
| Facility | | $4,804.00 | $26,262.00 | $41,504.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,487.38 / $24,033.66 / $37,060.54
| Facility | | $16,487.38 | $24,033.66 | $37,060.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $26,582.95
| Facility | | $688.00 | $3,027.00 | $26,582.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,561.80 / $24,715.80 / $44,265.08
| Facility | | $15,561.80 | $24,715.80 | $44,265.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,648.40 / $56,713.96 / $56,713.96
| Facility | | $34,648.40 | $56,713.96 | $56,713.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,113.31 / $26,505.24 / $94,274.89
| Facility | | $18,113.31 | $26,505.24 | $94,274.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,104.00 / $22,628.69 / $44,265.08
| Facility | | $16,104.00 | $22,628.69 | $44,265.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $20,504.96 / $46,879.46
| Facility | | $5,257.00 | $20,504.96 | $46,879.46 |