- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,920.50 / $39,154.19 / $56,938.00
| Facility | | $21,920.50 | $39,154.19 | $56,938.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,459.92 / $8,639.91
| Facility | | $8,459.92 | $8,459.92 | $8,639.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,722.00 / $36,256.39 / $52,232.02
| Facility | | $19,722.00 | $36,256.39 | $52,232.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,463.16 / $39,463.16 / $47,919.55
| Facility | | $39,463.16 | $39,463.16 | $47,919.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,557.46 / $34,871.08 / $43,067.88
| Facility | | $19,557.46 | $34,871.08 | $43,067.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,597.20 / $39,154.19 / $55,959.20
| Facility | | $21,597.20 | $39,154.19 | $55,959.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,722.00 / $32,379.05 / $50,484.49
| Facility | | $19,722.00 | $32,379.05 | $50,484.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,138.68 / $32,975.37 / $54,756.99
| Facility | | $11,138.68 | $32,975.37 | $54,756.99 |