- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,737.40 / $35,749.80 / $72,653.00
| Facility | | $27,737.40 | $35,749.80 | $72,653.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,906.00 / $44,906.00 / $44,906.00
| Facility | | $44,906.00 | $44,906.00 | $44,906.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,699.94 / $34,722.46 / $39,696.75
| Facility | | $27,699.94 | $34,722.46 | $39,696.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,140.40 / $39,190.83 / $50,969.38
| Facility | | $22,140.40 | $39,190.83 | $50,969.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,653.91 / $45,653.91 / $45,653.91
| Facility | | $45,653.91 | $45,653.91 | $45,653.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $35,610.44 / $50,063.63
| Facility | | $1,518.00 | $35,610.44 | $50,063.63 |