- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,570.50 / $29,092.00 / $49,750.00
| Facility | | $13,570.50 | $29,092.00 | $49,750.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,326.00 / $45,865.84 / $59,473.87
| Facility | | $32,326.00 | $45,865.84 | $59,473.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,795.37 / $43,953.84 / $58,345.34
| Facility | | $27,795.37 | $43,953.84 | $58,345.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,453.43 / $40,708.43 / $77,508.92
| Facility | | $20,453.43 | $40,708.43 | $77,508.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,795.37 / $45,279.02 / $58,667.00
| Facility | | $27,795.37 | $45,279.02 | $58,667.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,117.66 / $35,659.48 / $56,821.85
| Facility | | $13,117.66 | $35,659.48 | $56,821.85 |