- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,875.00 / $43,572.30 / $52,612.50
| Facility | | $22,875.00 | $43,572.30 | $52,612.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $39,345.00 / $67,127.83
| Facility | | $12,397.00 | $39,345.00 | $67,127.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,381.02 / $36,160.28 / $40,566.44
| Facility | | $31,381.02 | $36,160.28 | $40,566.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,655.37 / $32,357.37 / $42,563.40
| Facility | | $22,655.37 | $32,357.37 | $42,563.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,886.16 / $39,669.76 / $60,847.20
| Facility | | $22,886.16 | $39,669.76 | $60,847.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,456.29 / $35,316.43 / $46,512.43
| Facility | | $25,456.29 | $35,316.43 | $46,512.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $38,442.81 / $55,311.75
| Facility | | $3,775.00 | $38,442.81 | $55,311.75 |