- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,440.00 / $52,267.70 / $63,112.00
| Facility | | $27,440.00 | $52,267.70 | $63,112.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $47,196.80 / $81,013.86
| Facility | | $12,397.00 | $47,196.80 | $81,013.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,058.33 / $42,989.16 / $47,640.04
| Facility | | $33,058.33 | $42,989.16 | $47,640.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,440.39 / $39,307.24 / $51,849.60
| Facility | | $24,440.39 | $39,307.24 | $51,849.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,822.23 / $47,423.55 / $75,854.88
| Facility | | $27,822.23 | $47,423.55 | $75,854.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,988.70 / $42,950.22 / $57,984.50
| Facility | | $30,988.70 | $42,950.22 | $57,984.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,114.57 / $66,349.92
| Facility | | $3,775.00 | $46,114.57 | $66,349.92 |