- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,756.40 / $36,433.19 / $61,513.90
| Facility | | $15,756.40 | $36,433.19 | $61,513.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,047.89 / $60,912.24 / $78,984.42
| Facility | | $41,047.89 | $60,912.24 | $78,984.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,320.00 / $51,936.19 / $76,239.41
| Facility | | $36,320.00 | $51,936.19 | $76,239.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,987.50 / $51,422.24 / $101,936.00
| Facility | | $28,987.50 | $51,422.24 | $101,936.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,320.00 / $56,546.06 / $76,659.73
| Facility | | $36,320.00 | $56,546.06 | $76,659.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $46,595.98 / $71,894.11
| Facility | | $9,114.00 | $46,595.98 | $71,894.11 |