- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,931.50 / $33,036.10 / $43,133.30
| Facility | | $15,931.50 | $33,036.10 | $43,133.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,168.75 / $80,786.02
| Facility | | $5,840.42 | $30,168.75 | $80,786.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,666.50 / $32,176.33 / $46,638.11
| Facility | | $18,666.50 | $32,176.33 | $46,638.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,717.00 / $21,717.00 / $43,832.15
| Facility | | $21,717.00 | $21,717.00 | $43,832.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,894.79 / $31,094.19 / $48,016.73
| Facility | | $26,894.79 | $31,094.19 | $48,016.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,168.75 / $80,786.02
| Facility | | $5,840.42 | $30,168.75 | $80,786.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,168.75 / $63,134.99
| Facility | | $5,840.42 | $30,168.75 | $63,134.99 |