- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,002.60 / $44,062.20 / $60,031.20
| Facility | | $28,002.60 | $44,062.20 | $60,031.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,175.94 / $41,412.80 / $88,026.62
| Facility | | $34,175.94 | $41,412.80 | $88,026.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,814.28 / $67,511.36
| Facility | | $100.00 | $31,814.28 | $67,511.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,705.09 / $45,869.61 / $81,503.64
| Facility | | $28,705.09 | $45,869.61 | $81,503.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,699.83 / $66,358.64 / $77,877.50
| Facility | | $45,699.83 | $66,358.64 | $77,877.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,129.38 / $39,021.11 / $82,214.50
| Facility | | $29,129.38 | $39,021.11 | $82,214.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $35,973.19 / $73,646.92
| Facility | | $5,693.00 | $35,973.19 | $73,646.92 |