- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,237.00 / $40,916.00 / $72,000.39
| Facility | | $24,237.00 | $40,916.00 | $72,000.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,085.05 / $23,085.05 / $23,085.05
| Facility | | $23,085.05 | $23,085.05 | $23,085.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,914.14 / $28,377.70 / $46,296.82
| Facility | | $18,914.14 | $28,377.70 | $46,296.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,047.32 / $37,089.29 / $50,889.81
| Facility | | $22,047.32 | $37,089.29 | $50,889.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,422.60 / $74,422.60 / $87,341.24
| Facility | | $74,422.60 | $74,422.60 | $87,341.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $35,657.96 / $50,933.31
| Facility | | $1,787.00 | $35,657.96 | $50,933.31 |