- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,227.00 / $40,204.40 / $104,336.00
| Facility | | $11,227.00 | $40,204.40 | $104,336.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,374.04 / $63,565.97 / $82,425.50
| Facility | | $43,374.04 | $63,565.97 | $82,425.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $50,445.20 / $80,656.56
| Facility | | $17,646.00 | $50,445.20 | $80,656.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,275.16 / $52,191.10 / $107,174.76
| Facility | | $28,275.16 | $52,191.10 | $107,174.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,346.43 / $20,346.43 / $20,738.03
| Facility | | $20,346.43 | $20,346.43 | $20,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $53,985.28 / $80,676.48
| Facility | | $17,648.00 | $53,985.28 | $80,676.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $36,121.75 / $69,386.77
| Facility | | $5,281.00 | $36,121.75 | $69,386.77 |