- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,295.60 / $34,514.30 / $46,805.80
| Facility | | $22,295.60 | $34,514.30 | $46,805.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,584.00 / $30,958.28 / $70,745.41
| Facility | | $18,584.00 | $30,958.28 | $70,745.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,132.30 / $59,220.10
| Facility | | $100.00 | $25,132.30 | $59,220.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,449.50 / $35,866.75 / $66,724.67
| Facility | | $22,449.50 | $35,866.75 | $66,724.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,728.12 / $53,331.25 / $62,588.75
| Facility | | $36,728.12 | $53,331.25 | $62,588.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,526.70 / $30,643.57 / $66,724.67
| Facility | | $23,526.70 | $30,643.57 | $66,724.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $28,047.98 / $57,421.83
| Facility | | $5,693.00 | $28,047.98 | $57,421.83 |