- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,550.00 / $60,096.40 / $72,565.00
| Facility | | $31,550.00 | $60,096.40 | $72,565.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $54,266.00 / $92,424.24
| Facility | | $12,397.00 | $54,266.00 | $92,424.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,356.51 / $49,071.30 / $54,794.92
| Facility | | $42,356.51 | $49,071.30 | $54,794.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,543.41 / $43,611.84 / $53,000.54
| Facility | | $29,543.41 | $43,611.84 | $53,000.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,446.01 / $54,068.48 / $83,679.48
| Facility | | $31,446.01 | $54,068.48 | $83,679.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,049.23 / $48,840.16 / $63,965.73
| Facility | | $35,049.23 | $48,840.16 | $63,965.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $53,021.67 / $76,287.89
| Facility | | $3,775.00 | $53,021.67 | $76,287.89 |