- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,430.40 / $40,291.69 / $52,606.50
| Facility | | $19,430.40 | $40,291.69 | $52,606.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,794.57 / $98,528.65
| Facility | | $5,840.42 | $36,794.57 | $98,528.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,766.14 / $37,644.31 / $56,881.00
| Facility | | $22,766.14 | $37,644.31 | $56,881.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,458.79 / $53,458.79 / $53,458.79
| Facility | | $53,458.79 | $53,458.79 | $53,458.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,801.56 / $37,923.25 / $58,562.41
| Facility | | $32,801.56 | $37,923.25 | $58,562.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,794.57 / $98,528.65
| Facility | | $5,840.42 | $36,794.57 | $98,528.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,794.57 / $77,001.02
| Facility | | $5,840.42 | $36,794.57 | $77,001.02 |