- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,153.00 / $36,297.50 / $61,772.90
| Facility | | $21,153.00 | $36,297.50 | $61,772.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,363.00 / $32,759.39 / $77,133.91
| Facility | | $16,363.00 | $32,759.39 | $77,133.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,132.76 / $66,705.09
| Facility | | $100.00 | $31,132.76 | $66,705.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,202.80 / $45,661.00 / $78,372.53
| Facility | | $27,202.80 | $45,661.00 | $78,372.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,515.10 / $60,282.20 / $70,746.28
| Facility | | $41,515.10 | $60,282.20 | $70,746.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,300.00 / $40,153.23 / $78,372.53
| Facility | | $24,300.00 | $40,153.23 | $78,372.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,974.00 / $27,349.00 / $71,810.62
| Facility | | $6,974.00 | $27,349.00 | $71,810.62 |