- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,523.10 / $40,347.10 / $65,425.00
| Facility | | $25,523.10 | $40,347.10 | $65,425.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,309.87 / $38,286.23 / $88,134.73
| Facility | | $31,309.87 | $38,286.23 | $88,134.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $29,692.03 / $57,548.90
| Facility | | $100.00 | $29,692.03 | $57,548.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,480.79 / $41,808.06 / $74,286.86
| Facility | | $25,480.79 | $41,808.06 | $74,286.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,867.33 / $60,793.65 / $71,346.50
| Facility | | $41,867.33 | $60,793.65 | $71,346.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,666.75 / $35,786.18 / $74,934.78
| Facility | | $26,666.75 | $35,786.18 | $74,934.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $32,787.94 / $67,125.81
| Facility | | $5,693.00 | $32,787.94 | $67,125.81 |