- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,882.00 / $32,586.20 / $55,018.60
| Facility | | $14,882.00 | $32,586.20 | $55,018.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,440.19 / $55,475.55 / $71,934.71
| Facility | | $37,440.19 | $55,475.55 | $71,934.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,484.96 / $46,452.23 / $68,189.27
| Facility | | $32,484.96 | $46,452.23 | $68,189.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,904.30 / $45,932.70 / $96,322.32
| Facility | | $23,904.30 | $45,932.70 | $96,322.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,804.45 / $17,804.45 / $17,804.45
| Facility | | $17,804.45 | $17,804.45 | $17,804.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,484.96 / $50,575.34 / $68,565.20
| Facility | | $32,484.96 | $50,575.34 | $68,565.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $41,675.89 / $64,302.78
| Facility | | $9,114.00 | $41,675.89 | $64,302.78 |