- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $58,301.90 / $76,121.30
| Facility | | $3,822.00 | $58,301.90 | $76,121.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,241.58 / $142,570.51
| Facility | | $5,840.42 | $53,241.58 | $142,570.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,942.51 / $54,471.15 / $82,306.56
| Facility | | $32,942.51 | $54,471.15 | $82,306.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,354.64 / $77,354.64 / $77,354.64
| Facility | | $77,354.64 | $77,354.64 | $77,354.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,463.71 / $54,874.78 / $84,739.54
| Facility | | $47,463.71 | $54,874.78 | $84,739.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,241.58 / $142,570.51
| Facility | | $5,840.42 | $53,241.58 | $142,570.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,241.58 / $111,420.12
| Facility | | $5,840.42 | $53,241.58 | $111,420.12 |