- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,145.00 / $40,277.00 / $48,633.50
| Facility | | $21,145.00 | $40,277.00 | $48,633.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $36,369.40 / $60,896.45
| Facility | | $12,397.00 | $36,369.40 | $60,896.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,200.28 / $33,172.96 / $38,008.76
| Facility | | $29,200.28 | $33,172.96 | $38,008.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,092.18 / $27,953.37 / $37,158.00
| Facility | | $19,092.18 | $27,953.37 | $37,158.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,779.74 / $35,379.30 / $54,022.38
| Facility | | $20,779.74 | $35,379.30 | $54,022.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,093.22 / $31,615.10 / $41,137.99
| Facility | | $23,093.22 | $31,615.10 | $41,137.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,535.44 / $51,128.61
| Facility | | $3,775.00 | $35,535.44 | $51,128.61 |