- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,940.00 / $47,505.70 / $57,362.00
| Facility | | $24,940.00 | $47,505.70 | $57,362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $42,896.80 / $73,632.86
| Facility | | $12,397.00 | $42,896.80 | $73,632.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,974.98 / $39,073.50 / $43,619.38
| Facility | | $33,974.98 | $39,073.50 | $43,619.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,198.44 / $34,270.11 / $45,108.80
| Facility | | $23,198.44 | $34,270.11 | $45,108.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,234.88 / $43,020.56 / $66,630.60
| Facility | | $25,234.88 | $43,020.56 | $66,630.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,088.12 / $38,759.29 / $50,933.34
| Facility | | $28,088.12 | $38,759.29 | $50,933.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $41,913.17 / $60,304.92
| Facility | | $3,775.00 | $41,913.17 | $60,304.92 |