- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,222.00 / $35,222.00 / $41,745.00
| Facility | | $35,222.00 | $35,222.00 | $41,745.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,159.39 / $37,681.56 / $56,369.33
| Facility | | $23,159.39 | $37,681.56 | $56,369.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,807.26 / $35,655.08 / $60,662.98
| Facility | | $28,807.26 | $35,655.08 | $60,662.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,773.36 / $41,353.41 / $67,689.58
| Facility | | $25,773.36 | $41,353.41 | $67,689.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.69 / $21,501.66 / $34,068.56
| Facility | | $340.69 | $21,501.66 | $34,068.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,328.82 / $40,855.42 / $48,015.36
| Facility | | $29,328.82 | $40,855.42 | $48,015.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,469.25 / $43,578.27 / $54,933.96
| Facility | | $26,469.25 | $43,578.27 | $54,933.96 |