- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,020.00 / $40,038.90 / $48,346.00
| Facility | | $21,020.00 | $40,038.90 | $48,346.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $36,154.40 / $62,059.45
| Facility | | $6,916.00 | $36,154.40 | $62,059.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,294.56 / $33,355.00 / $37,823.94
| Facility | | $28,294.56 | $33,355.00 | $37,823.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,536.52 / $28,891.50 / $38,364.14
| Facility | | $18,536.52 | $28,891.50 | $38,364.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,765.23 / $37,078.50 / $58,971.24
| Facility | | $21,765.23 | $37,078.50 | $58,971.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,200.26 / $33,972.10 / $45,078.42
| Facility | | $24,200.26 | $33,972.10 | $45,078.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,966.08 / $47,488.38
| Facility | | $3,775.00 | $32,966.08 | $47,488.38 |