- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,274.00 / $48,772.20 / $82,347.00
| Facility | | $22,274.00 | $48,772.20 | $82,347.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,700.76 / $81,050.71 / $109,198.33
| Facility | | $54,700.76 | $81,050.71 | $109,198.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,620.62 / $69,525.60 / $102,059.68
| Facility | | $48,620.62 | $69,525.60 | $102,059.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,777.85 / $68,748.00 / $144,166.75
| Facility | | $35,777.85 | $68,748.00 | $144,166.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,620.62 / $75,696.71 / $102,622.34
| Facility | | $48,620.62 | $75,696.71 | $102,622.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $62,376.80 / $95,212.59
| Facility | | $9,114.00 | $62,376.80 | $95,212.59 |