- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,956.90 / $36,896.69 / $62,296.40
| Facility | | $15,956.90 | $36,896.69 | $62,296.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,587.00 / $48,410.40 / $73,966.89
| Facility | | $1,587.00 | $48,410.40 | $73,966.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,782.01 / $52,596.85 / $77,209.22
| Facility | | $36,782.01 | $52,596.85 | $77,209.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,356.24 / $52,076.36 / $102,568.68
| Facility | | $29,356.24 | $52,076.36 | $102,568.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,397.14 / $20,474.33 / $22,211.79
| Facility | | $19,397.14 | $20,474.33 | $22,211.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,104.78 / $57,265.36 / $77,634.88
| Facility | | $31,104.78 | $57,265.36 | $77,634.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $48,431.80 / $72,808.64
| Facility | | $9,114.00 | $48,431.80 | $72,808.64 |