- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,977.00 / $59,396.50 / $95,636.00
| Facility | | $25,977.00 | $59,396.50 | $95,636.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,379.52 / $27,379.52 / $27,379.52
| Facility | | $27,379.52 | $27,379.52 | $27,379.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $31,721.32 / $84,832.52
| Facility | | $1,474.01 | $31,721.32 | $84,832.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,995.45 / $62,102.90 / $87,976.22
| Facility | | $42,995.45 | $62,102.90 | $87,976.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,286.30 / $50,818.19 / $107,577.52
| Facility | | $35,286.30 | $50,818.19 | $107,577.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,286.30 / $52,087.41 / $110,802.43
| Facility | | $35,286.30 | $52,087.41 | $110,802.43 |