- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,850.00 / $43,524.70 / $52,555.00
| Facility | | $22,850.00 | $43,524.70 | $52,555.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $39,302.00 / $66,764.30
| Facility | | $6,916.00 | $39,302.00 | $66,764.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,885.88 / $35,550.58 / $41,574.32
| Facility | | $30,885.88 | $35,550.58 | $41,574.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,639.84 / $30,614.13 / $40,136.76
| Facility | | $19,639.84 | $30,614.13 | $40,136.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,763.14 / $38,560.98 / $59,227.87
| Facility | | $22,763.14 | $38,560.98 | $59,227.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,318.44 / $34,624.40 / $44,035.73
| Facility | | $25,318.44 | $34,624.40 | $44,035.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,317.38 / $40,981.93 / $49,538.80
| Facility | | $30,317.38 | $40,981.93 | $49,538.80 |