- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,011.20 / $41,496.00 / $54,178.90
| Facility | | $20,011.20 | $41,496.00 | $54,178.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,894.36 / $101,473.68
| Facility | | $5,840.42 | $37,894.36 | $101,473.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,446.62 / $38,769.50 / $58,581.18
| Facility | | $23,446.62 | $38,769.50 | $58,581.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,056.68 / $55,056.68 / $55,056.68
| Facility | | $55,056.68 | $55,056.68 | $55,056.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,782.00 / $39,056.78 / $60,312.84
| Facility | | $33,782.00 | $39,056.78 | $60,312.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,894.36 / $101,473.68
| Facility | | $5,840.42 | $37,894.36 | $101,473.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $37,894.36 / $79,302.58
| Facility | | $5,840.42 | $37,894.36 | $79,302.58 |