- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,113.59 / $25,151.00 / $38,830.90
| Facility | | $17,113.59 | $25,151.00 | $38,830.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,512.58 / $40,512.58 / $40,512.58
| Facility | | $40,512.58 | $40,512.58 | $40,512.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,728.49 / $55,058.34 / $70,587.61
| Facility | | $38,728.49 | $55,058.34 | $70,587.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.17 / $35,875.66 / $45,619.54
| Facility | | $169.17 | $35,875.66 | $45,619.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,113.59 / $25,725.10 / $41,135.50
| Facility | | $17,113.59 | $25,725.10 | $41,135.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,014.15 / $34,224.44 / $51,996.88
| Facility | | $20,014.15 | $34,224.44 | $51,996.88 |