- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $39,810.72 / $74,131.02
| Facility | | $21,877.62 | $39,810.72 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $42,657.95 / $72,443.60
| Facility | | $24,547.09 | $42,657.95 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,840.32 / $66,069.34
| Facility | | $100.00 | $28,840.32 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $34,673.69 / $61,659.50
| Facility | | $25,703.96 | $34,673.69 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $61,659.50 / $61,659.50
| Facility | | $61,659.50 | $61,659.50 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,904.51 / $72,443.60
| Facility | | $24,547.09 | $38,904.51 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $33,113.11 / $67,608.30
| Facility | | $5,754.40 | $33,113.11 | $67,608.30 |