- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,492.30 / $31,722.80 / $43,020.10
| Facility | | $20,492.30 | $31,722.80 | $43,020.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,731.14 / $29,018.83 / $66,801.21
| Facility | | $23,731.14 | $29,018.83 | $66,801.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,383.24 / $46,582.18
| Facility | | $100.00 | $24,383.24 | $46,582.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,134.00 / $33,296.00 / $58,407.84
| Facility | | $22,134.00 | $33,296.00 | $58,407.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,733.10 / $46,078.20 / $54,076.68
| Facility | | $31,733.10 | $46,078.20 | $54,076.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,493.80 / $28,165.09 / $58,917.27
| Facility | | $20,493.80 | $28,165.09 | $58,917.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $25,779.43 / $52,777.49
| Facility | | $5,693.00 | $25,779.43 | $52,777.49 |