- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,392.00 / $38,392.00 / $45,502.10
| Facility | | $38,392.00 | $38,392.00 | $45,502.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,266.47 / $44,364.00 / $66,365.85
| Facility | | $27,266.47 | $44,364.00 | $66,365.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,399.93 / $38,864.06 / $66,122.70
| Facility | | $31,399.93 | $38,864.06 | $66,122.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,092.98 / $45,382.13 / $73,781.70
| Facility | | $28,092.98 | $45,382.13 | $73,781.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $401.10 / $25,314.76 / $37,649.08
| Facility | | $401.10 | $25,314.76 | $37,649.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,968.44 / $44,532.44 / $52,336.78
| Facility | | $31,968.44 | $44,532.44 | $52,336.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,851.50 / $47,500.35 / $59,878.06
| Facility | | $28,851.50 | $47,500.35 | $59,878.06 |