- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,266.00 / $39,532.41 / $69,220.20
| Facility | | $25,266.00 | $39,532.41 | $69,220.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,241.01 / $27,241.01 / $27,241.01
| Facility | | $27,241.01 | $27,241.01 | $27,241.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,971.34 / $41,923.62 / $69,498.64
| Facility | | $18,971.34 | $41,923.62 | $69,498.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,938.01 / $46,454.20 / $79,057.00
| Facility | | $35,938.01 | $46,454.20 | $79,057.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,340.63 / $42,718.85 / $122,459.36
| Facility | | $22,340.63 | $42,718.85 | $122,459.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,486.32 / $42,625.91 / $59,908.62
| Facility | | $21,486.32 | $42,625.91 | $59,908.62 |