- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,956.40 / $37,128.40 / $62,687.60
| Facility | | $16,956.40 | $37,128.40 | $62,687.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,947.00 / $61,261.82 / $82,793.00
| Facility | | $39,947.00 | $61,261.82 | $82,793.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,013.01 / $52,927.18 / $77,694.13
| Facility | | $37,013.01 | $52,927.18 | $77,694.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,236.31 / $52,335.23 / $109,748.63
| Facility | | $27,236.31 | $52,335.23 | $109,748.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,013.01 / $57,625.01 / $78,122.46
| Facility | | $37,013.01 | $57,625.01 | $78,122.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $47,485.07 / $81,404.20
| Facility | | $9,114.00 | $47,485.07 | $81,404.20 |