- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,948.40 / $37,111.00 / $62,658.20
| Facility | | $16,948.40 | $37,111.00 | $62,658.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,212.00 / $53,236.58 / $76,750.09
| Facility | | $1,212.00 | $53,236.58 | $76,750.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,995.65 / $52,902.34 / $77,657.67
| Facility | | $36,995.65 | $52,902.34 | $77,657.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,223.53 / $52,310.67 / $109,697.13
| Facility | | $27,223.53 | $52,310.67 | $109,697.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,995.65 / $57,597.97 / $78,085.80
| Facility | | $36,995.65 | $57,597.97 | $78,085.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $47,462.79 / $73,231.53
| Facility | | $9,114.00 | $47,462.79 | $73,231.53 |