- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,890.00 / $55,029.70 / $66,447.00
| Facility | | $28,890.00 | $55,029.70 | $66,447.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $49,690.80 / $85,294.84
| Facility | | $12,397.00 | $49,690.80 | $85,294.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,015.17 / $45,331.22 / $50,789.90
| Facility | | $39,015.17 | $45,331.22 | $50,789.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,093.87 / $41,259.90 / $55,013.20
| Facility | | $27,093.87 | $41,259.90 | $55,013.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,493.70 / $49,971.24 / $77,626.20
| Facility | | $29,493.70 | $49,971.24 | $77,626.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,861.61 / $44,814.65 / $60,300.21
| Facility | | $32,861.61 | $44,814.65 | $60,300.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $48,551.38 / $69,856.02
| Facility | | $3,775.00 | $48,551.38 | $69,856.02 |