- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,236.50 / $35,231.00 / $60,572.00
| Facility | | $15,236.50 | $35,231.00 | $60,572.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,717.89 / $51,200.04 / $72,556.09
| Facility | | $36,717.89 | $51,200.04 | $72,556.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,121.55 / $50,222.45 / $73,723.74
| Facility | | $35,121.55 | $50,222.45 | $73,723.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,844.46 / $49,660.75 / $104,140.17
| Facility | | $25,844.46 | $49,660.75 | $104,140.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,121.55 / $54,680.21 / $74,130.19
| Facility | | $35,121.55 | $54,680.21 | $74,130.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,434.00 / $44,033.25 / $73,294.00
| Facility | | $13,434.00 | $44,033.25 | $73,294.00 |