- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,755.90 / $36,755.90 / $43,563.00
| Facility | | $36,755.90 | $36,755.90 | $43,563.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,459.00 / $43,050.21 / $64,400.49
| Facility | | $26,459.00 | $43,050.21 | $64,400.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,061.78 / $37,207.81 / $63,304.78
| Facility | | $30,061.78 | $37,207.81 | $63,304.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,895.76 / $43,154.31 / $70,637.38
| Facility | | $26,895.76 | $43,154.31 | $70,637.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.22 / $24,565.09 / $36,044.62
| Facility | | $389.22 | $24,565.09 | $36,044.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,606.05 / $42,634.62 / $50,106.37
| Facility | | $30,606.05 | $42,634.62 | $50,106.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,621.95 / $45,476.05 / $57,326.27
| Facility | | $27,621.95 | $45,476.05 | $57,326.27 |