- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,580.50 / $36,455.60 / $47,598.00
| Facility | | $17,580.50 | $36,455.60 | $47,598.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,291.48 / $89,148.06
| Facility | | $5,840.42 | $33,291.48 | $89,148.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,598.65 / $34,060.32 / $51,465.55
| Facility | | $20,598.65 | $34,060.32 | $51,465.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,369.16 / $48,369.16 / $48,369.16
| Facility | | $48,369.16 | $48,369.16 | $48,369.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,678.63 / $34,312.69 / $52,986.87
| Facility | | $29,678.63 | $34,312.69 | $52,986.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,291.48 / $89,148.06
| Facility | | $5,840.42 | $33,291.48 | $89,148.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $33,291.48 / $69,670.00
| Facility | | $5,840.42 | $33,291.48 | $69,670.00 |