- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,135.00 / $39,260.10 / $53,883.70
| Facility | | $25,135.00 | $39,260.10 | $53,883.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,216.37 / $27,497.68 / $30,866.12
| Facility | | $21,216.37 | $27,497.68 | $30,866.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,390.96 / $35,939.76 / $82,733.16
| Facility | | $29,390.96 | $35,939.76 | $82,733.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,880.73 / $61,979.11
| Facility | | $100.00 | $28,880.73 | $61,979.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,871.12 / $41,972.09 / $73,157.16
| Facility | | $27,871.12 | $41,972.09 | $73,157.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,301.37 / $57,067.75 / $66,973.85
| Facility | | $39,301.37 | $57,067.75 | $66,973.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,254.86 / $35,025.10 / $73,795.23
| Facility | | $25,254.86 | $35,025.10 | $73,795.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $32,289.32 / $63,663.24
| Facility | | $5,693.00 | $32,289.32 | $63,663.24 |