- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,846.00 / $31,846.00 / $37,743.80
| Facility | | $31,846.00 | $31,846.00 | $37,743.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,971.96 / $37,165.80 / $55,913.13
| Facility | | $22,971.96 | $37,165.80 | $55,913.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,259.03 / $34,944.69 / $54,848.43
| Facility | | $27,259.03 | $34,944.69 | $54,848.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,302.98 / $36,108.90 / $61,201.53
| Facility | | $23,302.98 | $36,108.90 | $61,201.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $337.93 / $21,327.65 / $31,229.72
| Facility | | $337.93 | $21,327.65 | $31,229.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,517.65 / $36,939.42 / $43,413.08
| Facility | | $26,517.65 | $36,939.42 | $43,413.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,932.17 / $35,911.96 / $49,668.54
| Facility | | $23,932.17 | $35,911.96 | $49,668.54 |