- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $30,904.00 / $50,114.30
| Facility | | $4,804.00 | $30,904.00 | $50,114.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $1,262.00 / $2,426.00
| Facility | | $500.00 | $1,262.00 | $2,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,790.09 / $27,685.55 / $57,130.75
| Facility | | $18,790.09 | $27,685.55 | $57,130.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,770.19 / $66,734.38 / $66,734.38
| Facility | | $40,770.19 | $66,734.38 | $66,734.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,444.00 / $27,632.50 / $63,733.81
| Facility | | $19,444.00 | $27,632.50 | $63,733.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.00 / $24,758.72 / $56,374.72
| Facility | | $5,257.00 | $24,758.72 | $56,374.72 |