- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,503.40 / $40,443.00 / $52,804.00
| Facility | | $19,503.40 | $40,443.00 | $52,804.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,455.74 / $98,898.69
| Facility | | $5,840.42 | $36,455.74 | $98,898.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,851.64 / $37,785.69 / $57,094.63
| Facility | | $22,851.64 | $37,785.69 | $57,094.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,659.57 / $53,659.57 / $53,659.57
| Facility | | $53,659.57 | $53,659.57 | $53,659.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,924.75 / $38,065.68 / $58,782.35
| Facility | | $32,924.75 | $38,065.68 | $58,782.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $36,455.74 / $98,898.69
| Facility | | $5,840.42 | $36,455.74 | $98,898.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $28,722.31 / $77,290.20
| Facility | | $5,840.42 | $28,722.31 | $77,290.20 |