- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,540.80 / $34,299.69 / $44,783.10
| Facility | | $16,540.80 | $34,299.69 | $44,783.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,322.68 / $83,876.00
| Facility | | $5,840.42 | $31,322.68 | $83,876.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,380.49 / $32,046.05 / $48,421.97
| Facility | | $19,380.49 | $32,046.05 | $48,421.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,508.69 / $45,508.69 / $45,508.69
| Facility | | $45,508.69 | $45,508.69 | $45,508.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,923.49 / $32,283.51 / $49,853.32
| Facility | | $27,923.49 | $32,283.51 | $49,853.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,322.68 / $83,876.00
| Facility | | $5,840.42 | $31,322.68 | $83,876.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,322.68 / $65,549.84
| Facility | | $5,840.42 | $31,322.68 | $65,549.84 |