- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,250.50 / $31,250.50 / $37,038.00
| Facility | | $31,250.50 | $31,250.50 | $37,038.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,921.49 / $35,667.44 / $53,356.31
| Facility | | $21,921.49 | $35,667.44 | $53,356.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,559.03 / $31,634.71 / $53,822.79
| Facility | | $25,559.03 | $31,634.71 | $53,822.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,867.23 / $36,690.51 / $60,057.09
| Facility | | $22,867.23 | $36,690.51 | $60,057.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.48 / $20,352.37 / $30,645.74
| Facility | | $322.48 | $20,352.37 | $30,645.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,021.78 / $36,248.67 / $42,601.28
| Facility | | $26,021.78 | $36,248.67 | $42,601.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,484.65 / $38,664.51 / $48,739.76
| Facility | | $23,484.65 | $38,664.51 | $48,739.76 |