- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,563.50 / $40,563.50 / $48,075.80
| Facility | | $40,563.50 | $40,563.50 | $48,075.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,512.00 / $46,390.54 / $69,397.42
| Facility | | $28,512.00 | $46,390.54 | $69,397.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,175.94 / $41,062.25 / $69,862.66
| Facility | | $33,175.94 | $41,062.25 | $69,862.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,681.95 / $47,624.75 / $77,954.86
| Facility | | $29,681.95 | $47,624.75 | $77,954.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.42 / $26,471.13 / $39,778.56
| Facility | | $419.42 | $26,471.13 | $39,778.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,776.60 / $47,051.23 / $55,297.00
| Facility | | $33,776.60 | $47,051.23 | $55,297.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,483.37 / $50,187.02 / $63,264.82
| Facility | | $30,483.37 | $50,187.02 | $63,264.82 |