- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,692.60 / $36,525.10 / $60,911.00
| Facility | | $14,692.60 | $36,525.10 | $60,911.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,400.01 / $65,886.55 / $85,434.57
| Facility | | $44,400.01 | $65,886.55 | $85,434.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $48,270.37 / $77,179.23
| Facility | | $17,646.00 | $48,270.37 | $77,179.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,062.49 / $52,001.23 / $109,048.22
| Facility | | $27,062.49 | $52,001.23 | $109,048.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.51 / $16,339.51 / $16,339.51
| Facility | | $16,339.51 | $16,339.51 | $16,339.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $51,657.83 / $77,198.28
| Facility | | $17,648.00 | $51,657.83 | $77,198.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $34,564.44 / $66,395.31
| Facility | | $5,281.00 | $34,564.44 | $66,395.31 |