- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,100.00 / $46,683.50 / $83,567.10
| Facility | | $23,100.00 | $46,683.50 | $83,567.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,695.26 / $78,212.37 / $101,537.58
| Facility | | $45,695.26 | $78,212.37 | $101,537.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,150.82 / $73,408.74 / $105,271.72
| Facility | | $50,150.82 | $73,408.74 | $105,271.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,727.72 / $68,102.22 / $148,703.99
| Facility | | $33,727.72 | $68,102.22 | $148,703.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,410.13 / $79,305.33 / $105,852.08
| Facility | | $42,410.13 | $79,305.33 | $105,852.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,434.00 / $54,814.40 / $98,209.14
| Facility | | $13,434.00 | $54,814.40 | $98,209.14 |