- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,694.30 / $32,713.60 / $53,047.00
| Facility | | $20,694.30 | $32,713.60 | $53,047.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,348.60 / $27,328.23 / $62,909.47
| Facility | | $22,348.60 | $27,328.23 | $62,909.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,521.39 / $46,234.57
| Facility | | $100.00 | $22,521.39 | $46,234.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,463.31 / $33,898.22 / $60,232.21
| Facility | | $21,463.31 | $33,898.22 | $60,232.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,884.38 / $43,393.75 / $50,926.25
| Facility | | $29,884.38 | $43,393.75 | $50,926.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,330.82 / $29,015.64 / $60,757.55
| Facility | | $19,330.82 | $29,015.64 | $60,757.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,584.65 / $54,425.99
| Facility | | $5,693.00 | $26,584.65 | $54,425.99 |