- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,287.40 / $33,651.10 / $54,567.20
| Facility | | $21,287.40 | $33,651.10 | $54,567.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,768.50 / $31,768.50 / $31,768.50
| Facility | | $31,768.50 | $31,768.50 | $31,768.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,853.97 / $29,169.03 / $67,146.98
| Facility | | $23,853.97 | $29,169.03 | $67,146.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,564.94 / $48,158.41
| Facility | | $100.00 | $23,564.94 | $48,158.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,584.12 / $35,320.00 / $61,958.34
| Facility | | $22,584.12 | $35,320.00 | $61,958.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,897.35 / $46,316.70 / $54,356.58
| Facility | | $31,897.35 | $46,316.70 | $54,356.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,597.12 / $29,847.17 / $62,498.74
| Facility | | $20,597.12 | $29,847.17 | $62,498.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,017.00 / $29,850.70 / $60,700.95
| Facility | | $5,017.00 | $29,850.70 | $60,700.95 |