- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,204.20 / $43,336.50 / $58,696.50
| Facility | | $27,204.20 | $43,336.50 | $58,696.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,820.90 / $51,631.77 / $96,004.29
| Facility | | $27,820.90 | $51,631.77 | $96,004.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $34,460.01 / $72,933.37
| Facility | | $100.00 | $34,460.01 | $72,933.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,422.00 / $31,892.21 / $45,394.38
| Facility | | $19,422.00 | $31,892.21 | $45,394.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $688.00 / $3,027.00 / $39,691.69
| Facility | | $688.00 | $3,027.00 | $39,691.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,045.72 / $41,071.02 / $64,636.15
| Facility | | $23,045.72 | $41,071.02 | $64,636.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,783.40 / $43,806.24 / $68,670.41
| Facility | | $29,783.40 | $43,806.24 | $68,670.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,322.50 / $41,054.12 / $64,082.59
| Facility | | $17,322.50 | $41,054.12 | $64,082.59 |