- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,760.00 / $47,162.80 / $56,948.00
| Facility | | $24,760.00 | $47,162.80 | $56,948.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $42,587.20 / $71,802.28
| Facility | | $6,916.00 | $42,587.20 | $71,802.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,903.40 / $38,405.62 / $42,989.38
| Facility | | $29,903.40 | $38,405.62 | $42,989.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,133.65 / $31,699.90 / $43,165.46
| Facility | | $20,133.65 | $31,699.90 | $43,165.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,469.39 / $41,399.40 / $63,697.16
| Facility | | $24,469.39 | $41,399.40 | $63,697.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,228.95 / $37,739.22 / $47,517.97
| Facility | | $27,228.95 | $37,739.22 | $47,517.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $38,831.60 / $55,937.79
| Facility | | $3,775.00 | $38,831.60 | $55,937.79 |