- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,256.10 / $51,974.10 / $79,093.00
| Facility | | $38,256.10 | $51,974.10 | $79,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,983.80 / $42,983.80 / $42,983.80
| Facility | | $42,983.80 | $42,983.80 | $42,983.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,172.93 / $46,145.22 / $68,513.12
| Facility | | $28,172.93 | $46,145.22 | $68,513.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,143.45 / $45,865.60 / $91,731.20
| Facility | | $32,143.45 | $45,865.60 | $91,731.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $250.18 / $482.01 / $830.17
| Facility | | $250.18 | $482.01 | $830.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,797.00 / $45,398.60 / $77,892.30
| Facility | | $2,797.00 | $45,398.60 | $77,892.30 |