- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,740.00 / $58,553.60 / $70,702.00
| Facility | | $30,740.00 | $58,553.60 | $70,702.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $52,872.80 / $85,873.39
| Facility | | $12,397.00 | $52,872.80 | $85,873.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,548.41 / $47,344.36 / $54,452.44
| Facility | | $39,548.41 | $47,344.36 | $54,452.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,649.12 / $40,092.80 / $51,884.80
| Facility | | $25,649.12 | $40,092.80 | $51,884.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,229.00 / $50,057.70 / $76,179.89
| Facility | | $29,229.00 | $50,057.70 | $76,179.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,565.01 / $45,647.86 / $58,175.21
| Facility | | $32,565.01 | $45,647.86 | $58,175.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $51,660.41 / $74,329.32
| Facility | | $3,775.00 | $51,660.41 | $74,329.32 |