- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,291.00 / $41,560.90 / $67,393.20
| Facility | | $26,291.00 | $41,560.90 | $67,393.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,238.42 / $33,050.37 / $75,526.22
| Facility | | $25,238.42 | $33,050.37 | $75,526.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $30,130.91 / $66,680.58
| Facility | | $100.00 | $30,130.91 | $66,680.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,663.03 / $50,224.19 / $77,189.13
| Facility | | $31,663.03 | $50,224.19 | $77,189.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,210.12 / $56,935.25 / $66,818.35
| Facility | | $39,210.12 | $56,935.25 | $66,818.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,075.51 / $36,635.94 / $71,507.36
| Facility | | $25,075.51 | $36,635.94 | $71,507.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $33,774.33 / $69,145.23
| Facility | | $5,693.00 | $33,774.33 | $69,145.23 |