- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,185.70 / $58,447.00 / $76,310.80
| Facility | | $28,185.70 | $58,447.00 | $76,310.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,374.06 / $142,925.29
| Facility | | $5,840.42 | $53,374.06 | $142,925.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,024.48 / $54,606.70 / $82,511.37
| Facility | | $33,024.48 | $54,606.70 | $82,511.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,547.13 / $77,547.13 / $77,547.13
| Facility | | $77,547.13 | $77,547.13 | $77,547.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,581.82 / $55,011.33 / $84,950.41
| Facility | | $47,581.82 | $55,011.33 | $84,950.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,374.06 / $142,925.29
| Facility | | $5,840.42 | $53,374.06 | $142,925.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,750.00 / $53,374.06 / $124,394.61
| Facility | | $9,750.00 | $53,374.06 | $124,394.61 |