- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,747.30 / $30,101.70 / $50,823.80
| Facility | | $13,747.30 | $30,101.70 | $50,823.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,266.00 / $50,478.27 / $71,467.53
| Facility | | $34,266.00 | $50,478.27 | $71,467.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,008.16 / $42,910.50 / $62,990.21
| Facility | | $30,008.16 | $42,910.50 | $62,990.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,949.93 / $42,430.58 / $83,679.42
| Facility | | $23,949.93 | $42,430.58 | $83,679.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,344.48 / $15,344.48 / $15,344.48
| Facility | | $15,344.48 | $15,344.48 | $15,344.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,008.16 / $46,719.25 / $63,337.48
| Facility | | $30,008.16 | $46,719.25 | $63,337.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,693.79 / $38,498.33 / $62,739.00
| Facility | | $8,693.79 | $38,498.33 | $62,739.00 |