- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,609.00 / $47,317.90 / $61,780.20
| Facility | | $20,609.00 | $47,317.90 | $61,780.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,210.97 / $115,710.51
| Facility | | $5,840.42 | $43,210.97 | $115,710.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,736.20 / $44,208.89 / $66,800.16
| Facility | | $26,736.20 | $44,208.89 | $66,800.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,717.00 / $21,717.00 / $62,781.17
| Facility | | $21,717.00 | $21,717.00 | $62,781.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,521.64 / $44,536.48 / $68,774.78
| Facility | | $38,521.64 | $44,536.48 | $68,774.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,210.97 / $115,710.51
| Facility | | $5,840.42 | $43,210.97 | $115,710.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $43,210.97 / $90,428.79
| Facility | | $5,840.42 | $43,210.97 | $90,428.79 |