- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,801.40 / $55,576.60 / $72,563.00
| Facility | | $26,801.40 | $55,576.60 | $72,563.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,752.80 / $135,906.06
| Facility | | $5,840.42 | $50,752.80 | $135,906.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,402.61 / $51,924.90 / $78,459.14
| Facility | | $31,402.61 | $51,924.90 | $78,459.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,738.69 / $73,738.69 / $73,738.69
| Facility | | $73,738.69 | $73,738.69 | $73,738.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,245.02 / $52,309.66 / $80,778.39
| Facility | | $45,245.02 | $52,309.66 | $80,778.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,752.80 / $135,906.06
| Facility | | $5,840.42 | $50,752.80 | $135,906.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $51,468.88 / $118,285.45
| Facility | | $5,840.42 | $51,468.88 | $118,285.45 |