- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,505.00 / $37,839.69 / $64,144.60
| Facility | | $4,505.00 | $37,839.69 | $64,144.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,385.00 / $6,600.00 / $43,370.95
| Facility | | $2,385.00 | $6,600.00 | $43,370.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,237.90 / $29,826.04 / $49,965.58
| Facility | | $22,237.90 | $29,826.04 | $49,965.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,398.67 / $24,451.35 / $32,601.80
| Facility | | $14,398.67 | $24,451.35 | $32,601.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $28,435.31 / $43,081.13
| Facility | | $6,600.00 | $28,435.31 | $43,081.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,351.00 / $4,115.32 / $5,732.00
| Facility | | $2,351.00 | $4,115.32 | $5,732.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,724.00 / $11,924.22 / $40,862.91
| Facility | | $1,724.00 | $11,924.22 | $40,862.91 |