- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,340.20 / $44,800.20 / $72,646.00
| Facility | | $28,340.20 | $44,800.20 | $72,646.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,508.28 / $34,713.26 / $79,326.25
| Facility | | $26,508.28 | $34,713.26 | $79,326.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $30,607.93 / $66,185.74
| Facility | | $100.00 | $30,607.93 | $66,185.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,384.60 / $46,946.71 / $83,205.42
| Facility | | $29,384.60 | $46,946.71 | $83,205.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,182.94 / $59,799.90 / $70,180.25
| Facility | | $41,182.94 | $59,799.90 | $70,180.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,439.67 / $39,491.43 / $83,205.42
| Facility | | $26,439.67 | $39,491.43 | $83,205.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $36,406.78 / $74,534.57
| Facility | | $5,693.00 | $36,406.78 | $74,534.57 |