- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,299.00 / $33,348.80 / $74,331.00
| Facility | | $5,299.00 | $33,348.80 | $74,331.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,974.48 / $56,351.51 / $73,070.56
| Facility | | $37,974.48 | $56,351.51 | $73,070.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $44,283.17 / $70,804.13
| Facility | | $17,646.00 | $44,283.17 | $70,804.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,827.09 / $47,705.86 / $100,040.69
| Facility | | $24,827.09 | $47,705.86 | $100,040.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,074.75 / $18,480.84 / $20,607.32
| Facility | | $17,074.75 | $18,480.84 | $20,607.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $47,390.82 / $70,821.61
| Facility | | $17,648.00 | $47,390.82 | $70,821.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $38,958.78 / $60,910.97
| Facility | | $5,281.00 | $38,958.78 | $60,910.97 |