- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,089.40 / $33,363.69 / $43,561.00
| Facility | | $16,089.40 | $33,363.69 | $43,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,074.40 / $81,587.13
| Facility | | $5,840.42 | $30,074.40 | $81,587.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,851.61 / $31,171.55 / $47,100.59
| Facility | | $18,851.61 | $31,171.55 | $47,100.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,266.81 / $44,266.81 / $44,266.81
| Facility | | $44,266.81 | $44,266.81 | $44,266.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,161.49 / $31,402.53 / $48,492.88
| Facility | | $27,161.49 | $31,402.53 | $48,492.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,074.40 / $81,587.13
| Facility | | $5,840.42 | $30,074.40 | $81,587.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $23,694.66 / $63,761.06
| Facility | | $5,840.42 | $23,694.66 | $63,761.06 |