- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,955.00 / $38,010.30 / $45,896.50
| Facility | | $19,955.00 | $38,010.30 | $45,896.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $34,322.60 / $57,738.53
| Facility | | $12,397.00 | $34,322.60 | $57,738.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,634.71 / $31,970.28 / $36,202.18
| Facility | | $27,634.71 | $31,970.28 | $36,202.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,264.61 / $27,286.70 / $59,999.40
| Facility | | $19,264.61 | $27,286.70 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,962.78 / $34,322.60 / $52,530.00
| Facility | | $16,962.78 | $34,322.60 | $52,530.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,895.67 / $29,880.30 / $42,146.00
| Facility | | $21,895.67 | $29,880.30 | $42,146.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,535.57 / $48,251.19
| Facility | | $3,775.00 | $33,535.57 | $48,251.19 |