- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,711.40 / $45,021.60 / $58,782.00
| Facility | | $21,711.40 | $45,021.60 | $58,782.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,582.93 / $110,095.13
| Facility | | $5,840.42 | $40,582.93 | $110,095.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,438.70 / $42,063.45 / $63,558.38
| Facility | | $25,438.70 | $42,063.45 | $63,558.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,734.43 / $59,734.43 / $59,734.43
| Facility | | $59,734.43 | $59,734.43 | $59,734.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,652.19 / $42,375.14 / $65,437.16
| Facility | | $36,652.19 | $42,375.14 | $65,437.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $40,582.93 / $110,095.13
| Facility | | $5,840.42 | $40,582.93 | $110,095.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $31,973.99 / $86,040.32
| Facility | | $5,840.42 | $31,973.99 | $86,040.32 |