- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,443.40 / $29,436.20 / $49,700.00
| Facility | | $13,443.40 | $29,436.20 | $49,700.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $38,374.94 / $58,746.16
| Facility | | $1,613.00 | $38,374.94 | $58,746.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,344.67 / $41,961.74 / $61,597.48
| Facility | | $29,344.67 | $41,961.74 | $61,597.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,593.50 / $41,492.43 / $87,010.94
| Facility | | $21,593.50 | $41,492.43 | $87,010.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,344.67 / $45,686.28 / $61,937.07
| Facility | | $29,344.67 | $45,686.28 | $61,937.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,501.56 / $38,638.87 / $58,086.70
| Facility | | $8,501.56 | $38,638.87 | $58,086.70 |