- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,210.00 / $46,115.20 / $55,683.00
| Facility | | $24,210.00 | $46,115.20 | $55,683.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $41,641.19 / $71,477.60
| Facility | | $6,916.00 | $41,641.19 | $71,477.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,150.20 / $37,583.46 / $43,725.88
| Facility | | $28,150.20 | $37,583.46 | $43,725.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,910.47 / $31,898.80 / $43,825.50
| Facility | | $18,910.47 | $31,898.80 | $43,825.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,839.71 / $41,632.50 / $64,671.15
| Facility | | $24,839.71 | $41,632.50 | $64,671.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,645.30 / $37,964.87 / $47,577.41
| Facility | | $27,645.30 | $37,964.87 | $47,577.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $40,686.36 / $54,695.23
| Facility | | $3,775.00 | $40,686.36 | $54,695.23 |