- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,809.76 / $36,735.30 / $50,048.80
| Facility | | $22,809.76 | $36,735.30 | $50,048.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,156.47 / $25,103.51 / $37,175.73
| Facility | | $24,156.47 | $25,103.51 | $37,175.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,095.37 / $33,132.67 / $76,271.25
| Facility | | $27,095.37 | $33,132.67 | $76,271.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,837.49 / $57,754.66
| Facility | | $100.00 | $25,837.49 | $57,754.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,831.88 / $38,242.12 / $67,950.69
| Facility | | $23,831.88 | $38,242.12 | $67,950.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,231.73 / $52,610.45 / $61,742.83
| Facility | | $36,231.73 | $52,610.45 | $61,742.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,216.71 / $32,532.43 / $68,543.35
| Facility | | $23,216.71 | $32,532.43 | $68,543.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $29,991.35 / $61,400.43
| Facility | | $5,693.00 | $29,991.35 | $61,400.43 |