- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,460.00 / $40,877.00 / $49,358.00
| Facility | | $21,460.00 | $40,877.00 | $49,358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $36,911.19 / $60,129.00
| Facility | | $6,916.00 | $36,911.19 | $60,129.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,908.20 / $33,388.62 / $39,375.36
| Facility | | $26,908.20 | $33,388.62 | $39,375.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,721.91 / $26,795.40 / $36,147.81
| Facility | | $17,721.91 | $26,795.40 | $36,147.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,517.53 / $35,609.33 / $54,166.32
| Facility | | $20,517.53 | $35,609.33 | $54,166.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,802.19 / $32,018.04 / $41,405.47
| Facility | | $22,802.19 | $32,018.04 | $41,405.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,656.15 / $48,482.43
| Facility | | $3,775.00 | $33,656.15 | $48,482.43 |