- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,458.90 / $33,999.00 / $57,151.30
| Facility | | $15,458.90 | $33,999.00 | $57,151.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,477.81 / $52,646.63 / $68,266.47
| Facility | | $35,477.81 | $52,646.63 | $68,266.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,744.19 / $48,252.90 / $70,832.55
| Facility | | $33,744.19 | $48,252.90 | $70,832.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,830.93 / $47,713.23 / $100,056.14
| Facility | | $24,830.93 | $47,713.23 | $100,056.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,744.19 / $52,535.84 / $71,223.05
| Facility | | $33,744.19 | $52,535.84 | $71,223.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $43,291.41 / $66,795.41
| Facility | | $9,114.00 | $43,291.41 | $66,795.41 |