- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,570.00 / $54,420.10 / $65,711.00
| Facility | | $28,570.00 | $54,420.10 | $65,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $49,140.40 / $84,350.07
| Facility | | $6,916.00 | $49,140.40 | $84,350.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,306.00 / $44,100.68 / $50,316.82
| Facility | | $36,306.00 | $44,100.68 | $50,316.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,731.40 / $38,486.30 / $51,218.42
| Facility | | $24,731.40 | $38,486.30 | $51,218.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,001.59 / $48,299.96 / $75,580.52
| Facility | | $29,001.59 | $48,299.96 | $75,580.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,308.79 / $43,629.45 / $56,104.69
| Facility | | $32,308.79 | $43,629.45 | $56,104.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $44,806.90 / $64,545.34
| Facility | | $3,775.00 | $44,806.90 | $64,545.34 |