- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,828.00 / $43,416.40 / $73,304.20
| Facility | | $19,828.00 | $43,416.40 | $73,304.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,811.51 / $69,465.06 / $90,074.80
| Facility | | $46,811.51 | $69,465.06 | $90,074.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,281.44 / $61,890.77 / $90,852.18
| Facility | | $43,281.44 | $61,890.77 | $90,852.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,848.97 / $61,198.57 / $128,335.34
| Facility | | $31,848.97 | $61,198.57 | $128,335.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,281.44 / $67,384.22 / $91,353.05
| Facility | | $43,281.44 | $67,384.22 | $91,353.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $55,527.01 / $85,674.01
| Facility | | $9,114.00 | $55,527.01 | $85,674.01 |