- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,830.00 / $56,820.20 / $68,609.00
| Facility | | $29,830.00 | $56,820.20 | $68,609.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $51,307.60 / $87,265.08
| Facility | | $12,397.00 | $51,307.60 | $87,265.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,274.33 / $45,984.10 / $53,012.84
| Facility | | $40,274.33 | $45,984.10 | $53,012.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,397.48 / $40,000.94 / $53,334.60
| Facility | | $27,397.48 | $40,000.94 | $53,334.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,702.48 / $50,477.13 / $77,414.49
| Facility | | $29,702.48 | $50,477.13 | $77,414.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,092.76 / $44,826.25 / $58,888.50
| Facility | | $33,092.76 | $44,826.25 | $58,888.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $50,131.10 / $72,128.94
| Facility | | $3,775.00 | $50,131.10 | $72,128.94 |