- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,324.90 / $33,852.00 / $44,198.60
| Facility | | $16,324.90 | $33,852.00 | $44,198.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,913.82 / $82,781.16
| Facility | | $5,840.42 | $30,913.82 | $82,781.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,127.50 / $31,627.75 / $47,789.91
| Facility | | $19,127.50 | $31,627.75 | $47,789.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,780.41 / $43,780.41 / $43,780.41
| Facility | | $43,780.41 | $43,780.41 | $43,780.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,559.00 / $31,862.11 / $49,202.58
| Facility | | $27,559.00 | $31,862.11 | $49,202.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,913.82 / $82,781.16
| Facility | | $5,840.42 | $30,913.82 | $82,781.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,913.82 / $64,694.21
| Facility | | $5,840.42 | $30,913.82 | $64,694.21 |