- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,459.59 / $34,131.19 / $44,563.10
| Facility | | $16,459.59 | $34,131.19 | $44,563.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,168.82 / $83,464.00
| Facility | | $5,840.42 | $31,168.82 | $83,464.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,285.29 / $31,888.64 / $48,184.12
| Facility | | $19,285.29 | $31,888.64 | $48,184.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,285.15 / $45,285.15 / $45,285.15
| Facility | | $45,285.15 | $45,285.15 | $45,285.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,786.33 / $32,124.94 / $49,608.44
| Facility | | $27,786.33 | $32,124.94 | $49,608.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,168.82 / $83,464.00
| Facility | | $5,840.42 | $31,168.82 | $83,464.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,168.82 / $65,227.86
| Facility | | $5,840.42 | $31,168.82 | $65,227.86 |