- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,161.50 / $39,775.40 / $64,498.00
| Facility | | $25,161.50 | $39,775.40 | $64,498.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,974.84 / $43,974.84 / $43,974.84
| Facility | | $43,974.84 | $43,974.84 | $43,974.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,680.87 / $33,848.62 / $77,919.38
| Facility | | $27,680.87 | $33,848.62 | $77,919.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,706.00 / $31,527.64 / $58,044.20
| Facility | | $1,706.00 | $31,527.64 | $58,044.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,209.12 / $41,748.00 / $73,234.34
| Facility | | $28,209.12 | $41,748.00 | $73,234.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,014.65 / $53,747.30 / $63,077.02
| Facility | | $37,014.65 | $53,747.30 | $63,077.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,705.63 / $35,475.36 / $73,873.09
| Facility | | $23,705.63 | $35,475.36 | $73,873.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $32,323.39 / $66,174.75
| Facility | | $5,693.00 | $32,323.39 | $66,174.75 |