- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,864.80 / $34,812.90 / $57,829.00
| Facility | | $13,864.80 | $34,812.90 | $57,829.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,156.76 / $57,385.43 / $77,314.48
| Facility | | $39,156.76 | $57,385.43 | $77,314.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,704.69 / $49,626.37 / $72,848.73
| Facility | | $34,704.69 | $49,626.37 | $72,848.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,537.72 / $49,071.34 / $102,904.15
| Facility | | $25,537.72 | $49,071.34 | $102,904.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,102.09 / $24,102.09 / $24,102.09
| Facility | | $24,102.09 | $24,102.09 | $24,102.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,704.69 / $54,031.22 / $73,250.35
| Facility | | $34,704.69 | $54,031.22 | $73,250.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $44,523.66 / $68,696.67
| Facility | | $9,114.00 | $44,523.66 | $68,696.67 |