- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,555.00 / $41,058.00 / $49,576.50
| Facility | | $21,555.00 | $41,058.00 | $49,576.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $37,074.60 / $60,319.94
| Facility | | $12,397.00 | $37,074.60 | $60,319.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,569.05 / $33,494.65 / $37,416.32
| Facility | | $21,569.05 | $33,494.65 | $37,416.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,527.88 / $26,024.49 / $36,262.60
| Facility | | $15,527.88 | $26,024.49 | $36,262.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,562.40 / $33,844.72 / $51,559.56
| Facility | | $19,562.40 | $33,844.72 | $51,559.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,874.60 / $29,433.55 / $37,417.98
| Facility | | $22,874.60 | $29,433.55 | $37,417.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $36,224.47 / $52,119.99
| Facility | | $3,775.00 | $36,224.47 | $52,119.99 |