- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,341.70 / $48,919.70 / $66,649.10
| Facility | | $30,341.70 | $48,919.70 | $66,649.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,716.98 / $40,006.87 / $92,095.62
| Facility | | $32,716.98 | $40,006.87 | $92,095.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $34,686.31 / $72,600.00
| Facility | | $100.00 | $34,686.31 | $72,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,516.16 / $50,926.30 / $90,488.65
| Facility | | $31,516.16 | $50,926.30 | $90,488.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,748.90 / $63,525.80 / $74,552.92
| Facility | | $43,748.90 | $63,525.80 | $74,552.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,909.90 / $43,322.82 / $91,277.89
| Facility | | $27,909.90 | $43,322.82 | $91,277.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $39,938.91 / $81,765.80
| Facility | | $5,693.00 | $39,938.91 | $81,765.80 |