- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,710.00 / $71,830.00 / $86,733.00
| Facility | | $37,710.00 | $71,830.00 | $86,733.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $64,861.20 / $92,714.33
| Facility | | $12,397.00 | $64,861.20 | $92,714.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,485.60 / $55,355.58 / $65,495.90
| Facility | | $40,485.60 | $55,355.58 | $65,495.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,809.94 / $42,631.05 / $49,984.98
| Facility | | $27,809.94 | $42,631.05 | $49,984.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,544.20 / $54,594.03 / $87,468.50
| Facility | | $31,544.20 | $54,594.03 | $87,468.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,159.23 / $49,369.37 / $63,480.30
| Facility | | $35,159.23 | $49,369.37 | $63,480.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $63,373.92 / $91,182.78
| Facility | | $3,775.00 | $63,373.92 | $91,182.78 |