- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,185.00 / $55,015.00 / $71,829.80
| Facility | | $23,185.00 | $55,015.00 | $71,829.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,239.94 / $134,532.74
| Facility | | $5,840.42 | $50,239.94 | $134,532.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,085.29 / $53,583.16 / $77,666.31
| Facility | | $31,085.29 | $53,583.16 | $77,666.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,993.57 / $72,993.57 / $72,993.57
| Facility | | $72,993.57 | $72,993.57 | $72,993.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,787.82 / $51,781.07 / $79,962.13
| Facility | | $44,787.82 | $51,781.07 | $79,962.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,239.94 / $134,532.74
| Facility | | $5,840.42 | $50,239.94 | $134,532.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $50,239.94 / $105,138.53
| Facility | | $5,840.42 | $50,239.94 | $105,138.53 |