- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,602.49 / $45,675.30 / $101,814.00
| Facility | | $29,602.49 | $45,675.30 | $101,814.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,417.00 / $15,417.00 / $15,417.00
| Facility | | $15,417.00 | $15,417.00 | $15,417.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,440.82 / $39,652.46 / $68,411.59
| Facility | | $26,440.82 | $39,652.46 | $68,411.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,413.41 / $49,876.73 / $87,110.19
| Facility | | $37,413.41 | $49,876.73 | $87,110.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,449.38 / $48,257.20 / $82,411.00
| Facility | | $24,449.38 | $48,257.20 | $82,411.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,449.38 / $46,164.33 / $64,726.30
| Facility | | $24,449.38 | $46,164.33 | $64,726.30 |