- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,396.50 / $43,696.80 / $76,950.00
| Facility | | $27,396.50 | $43,696.80 | $76,950.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,100.53 / $37,177.22 / $54,102.95
| Facility | | $13,100.53 | $37,177.22 | $54,102.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,332.48 / $33,976.57 / $56,918.69
| Facility | | $25,332.48 | $33,976.57 | $56,918.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,699.63 / $30,175.50 / $37,134.91
| Facility | | $20,699.63 | $30,175.50 | $37,134.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,560.26 / $32,883.91 / $50,632.81
| Facility | | $10,560.26 | $32,883.91 | $50,632.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,584.30 / $35,836.82 / $48,722.11
| Facility | | $25,584.30 | $35,836.82 | $48,722.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,370.01 / $71,299.63
| Facility | | $3,775.00 | $27,370.01 | $71,299.63 |