- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,620.00 / $43,086.60 / $52,026.00
| Facility | | $22,620.00 | $43,086.60 | $52,026.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $38,906.40 / $66,767.98
| Facility | | $12,397.00 | $38,906.40 | $66,767.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,846.88 / $35,206.78 / $39,275.76
| Facility | | $29,846.88 | $35,206.78 | $39,275.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,721.18 / $30,557.70 / $40,138.97
| Facility | | $19,721.18 | $30,557.70 | $40,138.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,764.37 / $38,219.83 / $59,231.12
| Facility | | $22,764.37 | $38,219.83 | $59,231.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,319.83 / $34,560.58 / $44,640.04
| Facility | | $25,319.83 | $34,560.58 | $44,640.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $39,100.03 / $54,695.16
| Facility | | $3,775.00 | $39,100.03 | $54,695.16 |