- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,317.00 / $40,380.10 / $71,109.30
| Facility | | $25,317.00 | $40,380.10 | $71,109.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,382.00 / $35,008.08 / $50,891.72
| Facility | | $16,382.00 | $35,008.08 | $50,891.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,409.67 / $31,397.65 / $52,598.40
| Facility | | $23,409.67 | $31,397.65 | $52,598.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,011.99 / $27,162.60 / $34,107.31
| Facility | | $19,011.99 | $27,162.60 | $34,107.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,026.04 / $30,994.93 / $47,627.55
| Facility | | $10,026.04 | $30,994.93 | $47,627.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,065.76 / $33,709.76 / $45,830.25
| Facility | | $24,065.76 | $33,709.76 | $45,830.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,292.55 / $65,887.78
| Facility | | $3,775.00 | $25,292.55 | $65,887.78 |