- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,125.00 / $51,667.70 / $62,387.50
| Facility | | $27,125.00 | $51,667.70 | $62,387.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $46,655.00 / $84,711.59
| Facility | | $12,397.00 | $46,655.00 | $84,711.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,380.00 / $42,662.04 / $49,162.33
| Facility | | $34,380.00 | $42,662.04 | $49,162.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,020.33 / $37,511.25 / $53,225.03
| Facility | | $26,020.33 | $37,511.25 | $53,225.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,129.97 / $51,583.35 / $81,419.47
| Facility | | $30,129.97 | $51,583.35 | $81,419.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,574.57 / $47,144.24 / $60,696.49
| Facility | | $33,574.57 | $47,144.24 | $60,696.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $45,585.19 / $65,588.25
| Facility | | $3,775.00 | $45,585.19 | $65,588.25 |