- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,620.40 / $36,538.30 / $47,705.90
| Facility | | $17,620.40 | $36,538.30 | $47,705.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,366.98 / $89,350.25
| Facility | | $5,840.42 | $33,366.98 | $89,350.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,645.37 / $34,137.57 / $51,582.27
| Facility | | $20,645.37 | $34,137.57 | $51,582.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,478.86 / $48,478.86 / $48,478.86
| Facility | | $48,478.86 | $48,478.86 | $48,478.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,745.94 / $34,390.51 / $53,107.04
| Facility | | $29,745.94 | $34,390.51 | $53,107.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,366.98 / $89,350.25
| Facility | | $5,840.42 | $33,366.98 | $89,350.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,366.98 / $69,828.00
| Facility | | $5,840.42 | $33,366.98 | $69,828.00 |