- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,784.60 / $36,102.69 / $49,550.10
| Facility | | $24,784.60 | $36,102.69 | $49,550.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,180.59 / $30,180.59 / $30,180.59
| Facility | | $30,180.59 | $30,180.59 | $30,180.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,507.31 / $28,745.13 / $66,171.16
| Facility | | $23,507.31 | $28,745.13 | $66,171.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,812.92 / $47,061.28
| Facility | | $100.00 | $24,812.92 | $47,061.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,236.58 / $35,494.83 / $61,517.24
| Facility | | $22,236.58 | $35,494.83 | $61,517.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,433.80 / $45,643.60 / $53,566.64
| Facility | | $31,433.80 | $45,643.60 | $53,566.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,427.38 / $32,587.91 / $62,865.24
| Facility | | $20,427.38 | $32,587.91 | $62,865.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $29,692.49 / $60,788.59
| Facility | | $5,693.00 | $29,692.49 | $60,788.59 |