- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,986.00 / $38,986.00 / $46,206.10
| Facility | | $38,986.00 | $38,986.00 | $46,206.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,828.75 / $45,278.87 / $67,734.42
| Facility | | $27,828.75 | $45,278.87 | $67,734.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,885.75 / $39,465.37 / $67,145.75
| Facility | | $31,885.75 | $39,465.37 | $67,145.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,527.64 / $45,772.66 / $74,923.25
| Facility | | $28,527.64 | $45,772.66 | $74,923.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $409.37 / $25,836.79 / $38,231.60
| Facility | | $409.37 | $25,836.79 | $38,231.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,463.05 / $45,221.44 / $53,146.54
| Facility | | $32,463.05 | $45,221.44 | $53,146.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,297.89 / $48,235.28 / $60,804.50
| Facility | | $29,297.89 | $48,235.28 | $60,804.50 |