- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,802.00 / $31,564.00 / $43,875.40
| Facility | | $8,802.00 | $31,564.00 | $43,875.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,895.89 / $26,054.18 / $59,538.63
| Facility | | $19,895.89 | $26,054.18 | $59,538.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,898.89 / $45,839.88
| Facility | | $100.00 | $23,898.89 | $45,839.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,656.80 / $37,795.61 / $60,088.68
| Facility | | $23,656.80 | $37,795.61 | $60,088.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $48,537.00 / $52,674.07
| Facility | | $48,537.00 | $48,537.00 | $52,674.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,101.58 / $29,455.17 / $60,088.68
| Facility | | $20,101.58 | $29,455.17 | $60,088.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,291.98 / $53,826.83
| Facility | | $5,693.00 | $26,291.98 | $53,826.83 |