- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,859.80 / $39,426.60 / $66,150.00
| Facility | | $15,859.80 | $39,426.60 | $66,150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,668.48 / $66,325.23 / $85,255.74
| Facility | | $43,668.48 | $66,325.23 | $85,255.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $52,104.82 / $83,310.12
| Facility | | $17,646.00 | $52,104.82 | $83,310.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,212.25 / $56,132.05 / $117,710.69
| Facility | | $29,212.25 | $56,132.05 | $117,710.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,500.03 / $32,500.03 / $32,500.03
| Facility | | $32,500.03 | $32,500.03 | $32,500.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $55,761.37 / $83,330.69
| Facility | | $17,648.00 | $55,761.37 | $83,330.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $37,310.12 / $71,669.56
| Facility | | $5,281.00 | $37,310.12 | $71,669.56 |