- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $22,841.00 / $55,158.80
| Facility | | $3,821.00 | $22,841.00 | $55,158.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,575.63 / $33,060.33 / $35,755.47
| Facility | | $32,575.63 | $33,060.33 | $35,755.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,884.00 / $59,598.37 / $100,802.62
| Facility | | $21,884.00 | $59,598.37 | $100,802.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,584.00 / $42,172.40 / $74,111.87
| Facility | | $28,584.00 | $42,172.40 | $74,111.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,971.48 / $49,415.17 / $72,150.17
| Facility | | $37,971.48 | $49,415.17 | $72,150.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,971.48 / $45,937.99 / $72,150.17
| Facility | | $37,971.48 | $45,937.99 | $72,150.17 |