- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,120.00 / $16,408.00 / $57,374.30
| Facility | | $2,120.00 | $16,408.00 | $57,374.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,152.29 / $30,152.29 / $44,497.15
| Facility | | $30,152.29 | $30,152.29 | $44,497.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,835.76 / $49,512.22 / $84,407.35
| Facility | | $21,835.76 | $49,512.22 | $84,407.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,807.11 / $63,171.01 / $99,277.67
| Facility | | $35,807.11 | $63,171.01 | $99,277.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,303.95 / $68,240.23 / $110,614.29
| Facility | | $30,303.95 | $68,240.23 | $110,614.29 |