- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,285.00 / $61,496.50 / $74,255.50
| Facility | | $32,285.00 | $61,496.50 | $74,255.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $55,530.20 / $95,318.23
| Facility | | $12,397.00 | $55,530.20 | $95,318.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,492.92 / $51,724.44 / $57,688.92
| Facility | | $43,492.92 | $51,724.44 | $57,688.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,525.49 / $46,860.84 / $57,853.10
| Facility | | $31,525.49 | $46,860.84 | $57,853.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,653.08 / $58,051.78 / $87,773.34
| Facility | | $33,653.08 | $58,051.78 | $87,773.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,520.91 / $52,478.66 / $66,036.25
| Facility | | $37,520.91 | $52,478.66 | $66,036.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $54,256.88 / $78,065.13
| Facility | | $3,775.00 | $54,256.88 | $78,065.13 |