- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,148.50 / $45,928.00 / $59,965.40
| Facility | | $22,148.50 | $45,928.00 | $59,965.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,941.65 / $112,311.53
| Facility | | $5,840.42 | $41,941.65 | $112,311.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,950.83 / $42,910.26 / $64,837.91
| Facility | | $25,950.83 | $42,910.26 | $64,837.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,936.98 / $60,936.98 / $60,936.98
| Facility | | $60,936.98 | $60,936.98 | $60,936.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,390.07 / $43,228.22 / $66,754.52
| Facility | | $37,390.07 | $43,228.22 | $66,754.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,941.65 / $112,311.53
| Facility | | $5,840.42 | $41,941.65 | $112,311.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $41,941.65 / $87,772.45
| Facility | | $5,840.42 | $41,941.65 | $87,772.45 |