- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,205.00 / $70,868.10 / $85,571.50
| Facility | | $37,205.00 | $70,868.10 | $85,571.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $63,992.60 / $109,844.04
| Facility | | $12,397.00 | $63,992.60 | $109,844.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,805.26 / $59,391.74 / $71,219.34
| Facility | | $49,805.26 | $59,391.74 | $71,219.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,331.50 / $51,322.34 / $54,314.22
| Facility | | $29,331.50 | $51,322.34 | $54,314.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,382.33 / $63,992.60 / $104,550.00
| Facility | | $31,382.33 | $63,992.60 | $104,550.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $62,525.23 / $89,961.69
| Facility | | $3,775.00 | $62,525.23 | $89,961.69 |