- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,024.00 / $33,228.00 / $43,383.80
| Facility | | $16,024.00 | $33,228.00 | $43,383.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,343.98 / $81,255.24
| Facility | | $5,840.42 | $30,343.98 | $81,255.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,774.93 / $31,044.75 / $46,908.99
| Facility | | $18,774.93 | $31,044.75 | $46,908.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,086.74 / $44,086.74 / $44,086.74
| Facility | | $44,086.74 | $44,086.74 | $44,086.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,051.00 / $31,274.79 / $48,295.62
| Facility | | $27,051.00 | $31,274.79 | $48,295.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,343.98 / $81,255.24
| Facility | | $5,840.42 | $30,343.98 | $81,255.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $30,343.98 / $63,501.69
| Facility | | $5,840.42 | $30,343.98 | $63,501.69 |