- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,921.70 / $32,137.50 / $50,424.00
| Facility | | $18,921.70 | $32,137.50 | $50,424.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,518.80 / $26,313.54 / $60,573.66
| Facility | | $21,518.80 | $26,313.54 | $60,573.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,370.35 / $45,696.06
| Facility | | $100.00 | $23,370.35 | $45,696.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,848.97 / $34,409.05 / $59,884.88
| Facility | | $22,848.97 | $34,409.05 | $59,884.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,774.78 / $41,782.55 / $49,035.37
| Facility | | $28,774.78 | $41,782.55 | $49,035.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,632.80 / $28,877.33 / $60,407.19
| Facility | | $18,632.80 | $28,877.33 | $60,407.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $26,416.00 / $52,186.00
| Facility | | $5,717.00 | $26,416.00 | $52,186.00 |