- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $37,522.69 / $115,572.00
| Facility | | $3,822.00 | $37,522.69 | $115,572.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,265.90 / $91,757.38
| Facility | | $5,840.42 | $34,265.90 | $91,757.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,201.56 / $36,546.12 / $56,852.00
| Facility | | $21,201.56 | $36,546.12 | $56,852.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,784.90 / $49,784.90 / $49,784.90
| Facility | | $49,784.90 | $49,784.90 | $49,784.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,547.31 / $35,317.01 / $54,537.77
| Facility | | $30,547.31 | $35,317.01 | $54,537.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,265.90 / $91,757.38
| Facility | | $5,840.42 | $34,265.90 | $91,757.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $34,265.90 / $71,709.21
| Facility | | $5,840.42 | $34,265.90 | $71,709.21 |