- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,444.30 / $44,467.80 / $58,059.00
| Facility | | $21,444.30 | $44,467.80 | $58,059.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,608.22 / $108,740.87
| Facility | | $5,840.42 | $40,608.22 | $108,740.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,125.79 / $41,546.04 / $62,776.56
| Facility | | $25,125.79 | $41,546.04 | $62,776.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,999.65 / $58,999.65 / $58,999.65
| Facility | | $58,999.65 | $58,999.65 | $58,999.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,201.35 / $41,853.89 / $64,632.24
| Facility | | $36,201.35 | $41,853.89 | $64,632.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,608.22 / $108,740.87
| Facility | | $5,840.42 | $40,608.22 | $108,740.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,608.22 / $84,981.96
| Facility | | $5,840.42 | $40,608.22 | $84,981.96 |