- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,500.00 / $37,482.00 / $66,005.80
| Facility | | $23,500.00 | $37,482.00 | $66,005.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,118.15 / $33,266.91 / $48,360.56
| Facility | | $11,118.15 | $33,266.91 | $48,360.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,729.55 / $29,144.23 / $48,823.40
| Facility | | $21,729.55 | $29,144.23 | $48,823.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,836.07 / $24,949.65 / $30,358.56
| Facility | | $15,836.07 | $24,949.65 | $30,358.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,919.47 / $29,938.32 / $45,258.73
| Facility | | $7,919.47 | $29,938.32 | $45,258.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,868.82 / $32,167.26 / $43,690.66
| Facility | | $22,868.82 | $32,167.26 | $43,690.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,477.30 / $61,159.00
| Facility | | $3,775.00 | $23,477.30 | $61,159.00 |