- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,157.20 / $41,349.40 / $67,050.30
| Facility | | $26,157.20 | $41,349.40 | $67,050.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,323.19 / $37,089.94 / $84,757.39
| Facility | | $28,323.19 | $37,089.94 | $84,757.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $32,305.57 / $72,600.00
| Facility | | $100.00 | $32,305.57 | $72,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,987.60 / $45,138.17 / $76,796.30
| Facility | | $30,987.60 | $45,138.17 | $76,796.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,002.58 / $63,894.15 / $74,985.21
| Facility | | $44,002.58 | $63,894.15 | $74,985.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,211.15 / $36,712.06 / $76,796.30
| Facility | | $28,211.15 | $36,712.06 | $76,796.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $33,602.44 / $68,793.34
| Facility | | $5,693.00 | $33,602.44 | $68,793.34 |