- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,965.00 / $57,077.30 / $68,919.50
| Facility | | $29,965.00 | $57,077.30 | $68,919.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $51,539.80 / $86,795.06
| Facility | | $12,397.00 | $51,539.80 | $86,795.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,516.37 / $46,652.60 / $53,226.40
| Facility | | $40,516.37 | $46,652.60 | $53,226.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,281.97 / $41,837.49 / $56,084.60
| Facility | | $28,281.97 | $41,837.49 | $56,084.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,543.40 / $51,410.48 / $79,465.35
| Facility | | $29,543.40 | $51,410.48 | $79,465.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,914.51 / $45,619.41 / $60,812.89
| Facility | | $32,914.51 | $45,619.41 | $60,812.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $50,357.98 / $72,455.37
| Facility | | $3,775.00 | $50,357.98 | $72,455.37 |