- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,617.30 / $33,464.40 / $45,382.00
| Facility | | $21,617.30 | $33,464.40 | $45,382.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,548.18 / $34,548.18 / $34,548.18
| Facility | | $34,548.18 | $34,548.18 | $34,548.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,878.93 / $30,422.37 / $70,032.17
| Facility | | $24,878.93 | $30,422.37 | $70,032.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,952.02 / $50,316.14
| Facility | | $100.00 | $23,952.02 | $50,316.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,493.52 / $34,328.44 / $61,614.52
| Facility | | $21,493.52 | $34,328.44 | $61,614.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,267.93 / $48,306.85 / $56,692.19
| Facility | | $33,267.93 | $48,306.85 | $56,692.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,459.32 / $29,681.54 / $62,151.92
| Facility | | $21,459.32 | $29,681.54 | $62,151.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $27,194.76 / $55,675.05
| Facility | | $5,693.00 | $27,194.76 | $55,675.05 |