- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,997.20 / $43,527.40 / $59,302.50
| Facility | | $26,997.20 | $43,527.40 | $59,302.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,606.60 / $36,203.44 / $83,340.16
| Facility | | $29,606.60 | $36,203.44 | $83,340.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,852.53 / $58,343.40
| Facility | | $100.00 | $28,852.53 | $58,343.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,848.02 / $44,215.84 / $80,389.60
| Facility | | $26,848.02 | $44,215.84 | $80,389.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,589.73 / $57,486.45 / $67,465.23
| Facility | | $39,589.73 | $57,486.45 | $67,465.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,312.57 / $38,547.44 / $80,389.60
| Facility | | $25,312.57 | $38,547.44 | $80,389.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $35,536.53 / $72,752.92
| Facility | | $5,693.00 | $35,536.53 | $72,752.92 |