- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,600.00 / $41,143.69 / $49,680.00
| Facility | | $21,600.00 | $41,143.69 | $49,680.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $37,152.00 / $63,771.84
| Facility | | $12,397.00 | $37,152.00 | $63,771.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,497.42 / $33,784.69 / $39,596.83
| Facility | | $28,497.42 | $33,784.69 | $39,596.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,826.18 / $29,389.60 / $39,138.98
| Facility | | $17,826.18 | $29,389.60 | $39,138.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,201.42 / $36,981.06 / $57,755.48
| Facility | | $22,201.42 | $36,981.06 | $57,755.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,689.03 / $33,779.24 / $43,000.47
| Facility | | $24,689.03 | $33,779.24 | $43,000.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,300.10 / $52,228.80
| Facility | | $3,775.00 | $36,300.10 | $52,228.80 |