- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,671.70 / $40,767.00 / $74,777.60
| Facility | | $20,671.70 | $40,767.00 | $74,777.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,564.29 / $31,564.29 / $32,354.58
| Facility | | $31,564.29 | $31,564.29 | $32,354.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,305.72 / $29,721.44 / $62,603.97
| Facility | | $24,305.72 | $29,721.44 | $62,603.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,135.27 / $55,425.49
| Facility | | $100.00 | $26,135.27 | $55,425.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,509.27 / $43,466.10 / $65,333.00
| Facility | | $25,509.27 | $43,466.10 | $65,333.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,501.43 / $47,193.85 / $55,385.99
| Facility | | $32,501.43 | $47,193.85 | $55,385.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,977.16 / $32,675.97 / $65,602.00
| Facility | | $20,977.16 | $32,675.97 | $65,602.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,448.08 / $53,649.07
| Facility | | $5,693.00 | $23,448.08 | $53,649.07 |