- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,624.00 / $53,072.00 / $114,290.00
| Facility | | $35,624.00 | $53,072.00 | $114,290.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,250.39 / $24,250.39 / $43,206.37
| Facility | | $24,250.39 | $24,250.39 | $43,206.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,826.73 / $52,538.00 / $90,813.48
| Facility | | $35,826.73 | $52,538.00 | $90,813.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,185.57 / $50,254.05 / $93,024.65
| Facility | | $27,185.57 | $50,254.05 | $93,024.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,752.00 / $64,451.00 / $84,652.51
| Facility | | $44,752.00 | $64,451.00 | $84,652.51 |