- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,675.00 / $49,675.00 / $58,874.70
| Facility | | $49,675.00 | $49,675.00 | $58,874.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,818.55 / $48,516.37 / $72,577.53
| Facility | | $29,818.55 | $48,516.37 | $72,577.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,628.05 / $50,285.81 / $85,555.47
| Facility | | $40,628.05 | $50,285.81 | $85,555.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,349.22 / $58,322.40 / $95,465.37
| Facility | | $36,349.22 | $58,322.40 | $95,465.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $438.64 / $27,684.16 / $43,864.49
| Facility | | $438.64 | $27,684.16 | $43,864.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,363.62 / $57,620.06 / $67,718.00
| Facility | | $41,363.62 | $57,620.06 | $67,718.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,330.66 / $61,460.21 / $77,475.60
| Facility | | $37,330.66 | $61,460.21 | $77,475.60 |