- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,000.00 / $34,430.10 / $66,286.00
| Facility | | $24,000.00 | $34,430.10 | $66,286.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,075.05 / $33,753.12 / $49,470.61
| Facility | | $16,075.05 | $33,753.12 | $49,470.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,899.26 / $33,046.19 / $51,633.68
| Facility | | $25,899.26 | $33,046.19 | $51,633.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,227.21 / $29,610.90 / $37,718.65
| Facility | | $20,227.21 | $29,610.90 | $37,718.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,301.29 / $29,748.65 / $46,297.59
| Facility | | $11,301.29 | $29,748.65 | $46,297.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,393.75 / $33,102.61 / $45,610.32
| Facility | | $23,393.75 | $33,102.61 | $45,610.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,154.47 / $35,877.12 / $50,319.83
| Facility | | $13,154.47 | $35,877.12 | $50,319.83 |