- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,115.20 / $39,638.00 / $51,753.10
| Facility | | $19,115.20 | $39,638.00 | $51,753.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,197.66 / $96,930.25
| Facility | | $5,840.42 | $36,197.66 | $96,930.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,396.81 / $37,033.62 / $55,958.24
| Facility | | $22,396.81 | $37,033.62 | $55,958.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,591.55 / $52,591.55 / $52,591.55
| Facility | | $52,591.55 | $52,591.55 | $52,591.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,269.43 / $37,308.03 / $57,612.37
| Facility | | $32,269.43 | $37,308.03 | $57,612.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,197.66 / $96,930.25
| Facility | | $5,840.42 | $36,197.66 | $96,930.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,197.66 / $75,751.85
| Facility | | $5,840.42 | $36,197.66 | $75,751.85 |