- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $33,935.10 / $47,450.00
| Facility | | $5,767.00 | $33,935.10 | $47,450.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,595.44 / $37,595.44 / $37,595.44
| Facility | | $37,595.44 | $37,595.44 | $37,595.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,060.21 / $33,111.91 / $55,552.06
| Facility | | $12,060.21 | $33,111.91 | $55,552.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,403.00 / $32,563.19 / $57,052.09
| Facility | | $22,403.00 | $32,563.19 | $57,052.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,230.84 / $38,040.31 / $55,541.95
| Facility | | $29,230.84 | $38,040.31 | $55,541.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,230.84 / $35,363.54 / $55,541.95
| Facility | | $29,230.84 | $35,363.54 | $55,541.95 |