- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,400.85 / $50,743.70 / $54,359.00
| Facility | | $15,400.85 | $50,743.70 | $54,359.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,339.39 / $124,087.81
| Facility | | $5,840.42 | $46,339.39 | $124,087.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,671.87 / $47,409.56 / $71,636.41
| Facility | | $28,671.87 | $47,409.56 | $71,636.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,326.45 / $67,326.45 / $67,326.45
| Facility | | $67,326.45 | $67,326.45 | $67,326.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,310.56 / $47,760.86 / $73,753.99
| Facility | | $41,310.56 | $47,760.86 | $73,753.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $46,339.39 / $124,087.81
| Facility | | $5,840.42 | $46,339.39 | $124,087.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $45,740.87 / $96,975.73
| Facility | | $5,840.42 | $45,740.87 | $96,975.73 |