- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,625.00 / $50,715.30 / $61,237.50
| Facility | | $26,625.00 | $50,715.30 | $61,237.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $45,795.00 / $77,214.82
| Facility | | $12,397.00 | $45,795.00 | $77,214.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,091.61 / $42,656.42 / $46,237.08
| Facility | | $36,091.61 | $42,656.42 | $46,237.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,923.88 / $37,141.76 / $48,934.60
| Facility | | $24,923.88 | $37,141.76 | $48,934.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,299.91 / $45,889.20 / $70,800.48
| Facility | | $26,299.91 | $45,889.20 | $70,800.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,281.49 / $41,116.05 / $54,815.74
| Facility | | $29,281.49 | $41,116.05 | $54,815.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,022.91 / $64,379.25
| Facility | | $3,775.00 | $46,022.91 | $64,379.25 |