- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,222.00 / $34,222.00 / $40,559.80
| Facility | | $34,222.00 | $34,222.00 | $40,559.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,508.09 / $38,248.92 / $57,218.06
| Facility | | $23,508.09 | $38,248.92 | $57,218.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,989.36 / $34,642.75 / $58,940.63
| Facility | | $27,989.36 | $34,642.75 | $58,940.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,041.60 / $40,179.30 / $65,767.73
| Facility | | $25,041.60 | $40,179.30 | $65,767.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $345.82 / $21,825.40 / $33,559.75
| Facility | | $345.82 | $21,825.40 | $33,559.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,496.11 / $39,695.44 / $46,652.10
| Facility | | $28,496.11 | $39,695.44 | $46,652.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,717.73 / $42,340.99 / $53,374.27
| Facility | | $25,717.73 | $42,340.99 | $53,374.27 |