- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,615.00 / $58,315.40 / $70,414.50
| Facility | | $30,615.00 | $58,315.40 | $70,414.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,944.00 / $51,805.48 / $90,387.73
| Facility | | $1,944.00 | $51,805.48 | $90,387.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,017.73 / $47,157.48 / $58,663.32
| Facility | | $38,017.73 | $47,157.48 | $58,663.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,200.00 / $37,892.25 / $51,422.80
| Facility | | $6,200.00 | $37,892.25 | $51,422.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,805.00 / $48,012.85 / $75,905.75
| Facility | | $2,805.00 | $48,012.85 | $75,905.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,966.82 / $45,637.91 / $61,451.88
| Facility | | $26,966.82 | $45,637.91 | $61,451.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,755.00 / $40,619.98 / $65,692.44
| Facility | | $3,755.00 | $40,619.98 | $65,692.44 |