- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,746.59 / $38,873.60 / $50,755.00
| Facility | | $18,746.59 | $38,873.60 | $50,755.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,499.61 / $95,061.00
| Facility | | $5,840.42 | $35,499.61 | $95,061.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,964.90 / $36,319.44 / $54,879.11
| Facility | | $21,964.90 | $36,319.44 | $54,879.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,577.35 / $51,577.35 / $51,577.35
| Facility | | $51,577.35 | $51,577.35 | $51,577.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,647.13 / $36,588.57 / $56,501.34
| Facility | | $31,647.13 | $36,588.57 | $56,501.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,499.61 / $95,061.00
| Facility | | $5,840.42 | $35,499.61 | $95,061.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $35,499.61 / $74,291.00
| Facility | | $5,840.42 | $35,499.61 | $74,291.00 |