- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,046.00 / $32,046.00 / $37,980.80
| Facility | | $32,046.00 | $32,046.00 | $37,980.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,271.63 / $37,864.18 / $56,642.51
| Facility | | $23,271.63 | $37,864.18 | $56,642.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,209.66 / $32,440.00 / $55,192.90
| Facility | | $26,209.66 | $32,440.00 | $55,192.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,449.33 / $37,624.51 / $61,585.90
| Facility | | $23,449.33 | $37,624.51 | $61,585.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.34 / $21,605.87 / $31,425.86
| Facility | | $342.34 | $21,605.87 | $31,425.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,684.19 / $37,171.42 / $43,685.73
| Facility | | $26,684.19 | $37,171.42 | $43,685.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,082.47 / $39,648.75 / $49,980.47
| Facility | | $24,082.47 | $39,648.75 | $49,980.47 |