- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,846.40 / $29,792.50 / $48,310.20
| Facility | | $18,846.40 | $29,792.50 | $48,310.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,914.39 / $26,895.74 / $57,169.32
| Facility | | $21,914.39 | $26,895.74 | $57,169.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,126.19 / $47,351.30
| Facility | | $100.00 | $21,126.19 | $47,351.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,734.32 / $30,871.31 / $54,853.83
| Facility | | $19,734.32 | $30,871.31 | $54,853.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,679.98 / $43,096.95 / $50,577.93
| Facility | | $29,679.98 | $43,096.95 | $50,577.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,202.23 / $26,262.11 / $55,332.27
| Facility | | $19,202.23 | $26,262.11 | $55,332.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,210.80 / $49,566.08
| Facility | | $5,693.00 | $24,210.80 | $49,566.08 |