- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,841.00 / $34,922.19 / $45,595.80
| Facility | | $16,841.00 | $34,922.19 | $45,595.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,891.10 / $85,398.11
| Facility | | $5,840.42 | $31,891.10 | $85,398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,732.18 / $32,627.60 / $49,300.69
| Facility | | $19,732.18 | $32,627.60 | $49,300.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,334.54 / $46,334.54 / $46,334.54
| Facility | | $46,334.54 | $46,334.54 | $46,334.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,430.22 / $32,869.36 / $50,758.02
| Facility | | $28,430.22 | $32,869.36 | $50,758.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,891.10 / $85,398.11
| Facility | | $5,840.42 | $31,891.10 | $85,398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,891.10 / $66,739.38
| Facility | | $5,840.42 | $31,891.10 | $66,739.38 |