- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,079.00 / $31,079.00 / $36,834.80
| Facility | | $31,079.00 | $31,079.00 | $36,834.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,555.35 / $35,071.71 / $52,465.14
| Facility | | $21,555.35 | $35,071.71 | $52,465.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,418.82 / $31,461.17 / $53,527.53
| Facility | | $25,418.82 | $31,461.17 | $53,527.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,741.78 / $36,489.24 / $59,727.63
| Facility | | $22,741.78 | $36,489.24 | $59,727.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $317.08 / $20,012.43 / $30,477.62
| Facility | | $317.08 | $20,012.43 | $30,477.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,879.03 / $36,049.82 / $42,367.58
| Facility | | $25,879.03 | $36,049.82 | $42,367.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,355.82 / $38,452.40 / $48,472.38
| Facility | | $23,355.82 | $38,452.40 | $48,472.38 |