- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,625.00 / $43,096.10 / $52,037.50
| Facility | | $22,625.00 | $43,096.10 | $52,037.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $38,915.00 / $69,839.37
| Facility | | $6,916.00 | $38,915.00 | $69,839.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,340.30 / $35,931.46 / $41,614.58
| Facility | | $29,340.30 | $35,931.46 | $41,614.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,068.13 / $35,110.51 / $46,098.80
| Facility | | $21,068.13 | $35,110.51 | $46,098.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,061.38 / $43,001.68 / $67,807.09
| Facility | | $21,061.38 | $43,001.68 | $67,807.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,255.65 / $38,867.44 / $50,519.73
| Facility | | $27,255.65 | $38,867.44 | $50,519.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,483.24 / $51,114.40
| Facility | | $3,775.00 | $35,483.24 | $51,114.40 |