- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,055.00 / $63,886.80 / $112,505.00
| Facility | | $40,055.00 | $63,886.80 | $112,505.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,865.23 / $50,015.75 / $72,708.56
| Facility | | $21,865.23 | $50,015.75 | $72,708.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,037.31 / $49,675.39 / $83,217.89
| Facility | | $37,037.31 | $49,675.39 | $83,217.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,942.63 / $41,370.44 / $48,334.79
| Facility | | $26,942.63 | $41,370.44 | $48,334.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,275.05 / $44,653.71 / $68,045.07
| Facility | | $13,275.05 | $44,653.71 | $68,045.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,382.55 / $48,160.84 / $65,477.28
| Facility | | $34,382.55 | $48,160.84 | $65,477.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,016.29 / $104,243.53
| Facility | | $3,775.00 | $40,016.29 | $104,243.53 |