- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,164.50 / $35,593.00 / $46,471.60
| Facility | | $17,164.50 | $35,593.00 | $46,471.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,503.00 / $32,083.86 / $87,038.48
| Facility | | $2,503.00 | $32,083.86 | $87,038.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,111.21 / $33,254.32 / $50,247.68
| Facility | | $20,111.21 | $33,254.32 | $50,247.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,938.22 / $34,938.22 / $34,938.22
| Facility | | $34,938.22 | $34,938.22 | $34,938.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,976.32 / $33,500.73 / $51,733.00
| Facility | | $28,976.32 | $33,500.73 | $51,733.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,503.00 / $32,083.86 / $87,038.48
| Facility | | $2,503.00 | $32,083.86 | $87,038.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,503.00 / $32,083.86 / $68,021.34
| Facility | | $2,503.00 | $32,083.86 | $68,021.34 |