- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,270.00 / $31,270.00 / $37,061.10
| Facility | | $31,270.00 | $31,270.00 | $37,061.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,371.19 / $34,772.07 / $52,016.90
| Facility | | $21,371.19 | $34,772.07 | $52,016.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,575.02 / $31,654.50 / $53,856.46
| Facility | | $25,575.02 | $31,654.50 | $53,856.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,881.53 / $36,713.47 / $60,094.66
| Facility | | $22,881.53 | $36,713.47 | $60,094.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.38 / $19,841.46 / $30,664.91
| Facility | | $314.38 | $19,841.46 | $30,664.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,038.06 / $36,271.35 / $42,627.93
| Facility | | $26,038.06 | $36,271.35 | $42,627.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,499.34 / $38,688.69 / $48,770.25
| Facility | | $23,499.34 | $38,688.69 | $48,770.25 |