- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,039.90 / $37,476.30 / $64,148.60
| Facility | | $17,039.90 | $37,476.30 | $64,148.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,170.43 / $62,578.00 / $81,144.41
| Facility | | $42,170.43 | $62,578.00 | $81,144.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,195.39 / $53,187.96 / $78,076.95
| Facility | | $37,195.39 | $53,187.96 | $78,076.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,686.16 / $52,661.63 / $110,289.39
| Facility | | $29,686.16 | $52,661.63 | $110,289.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,058.63 / $21,058.63 / $21,058.63
| Facility | | $21,058.63 | $21,058.63 | $21,058.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,195.39 / $57,908.94 / $78,507.39
| Facility | | $37,195.39 | $57,908.94 | $78,507.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $47,719.04 / $73,626.91
| Facility | | $9,114.00 | $47,719.04 | $73,626.91 |