- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,170.70 / $39,910.00 / $42,325.00
| Facility | | $21,170.70 | $39,910.00 | $42,325.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,636.57 / $31,891.56 / $48,008.17
| Facility | | $22,636.57 | $31,891.56 | $48,008.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,195.72 / $48,271.78
| Facility | | $100.00 | $22,195.72 | $48,271.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,266.58 / $40,013.90 / $53,698.55
| Facility | | $22,266.58 | $40,013.90 | $53,698.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,269.45 / $43,952.90 / $51,582.46
| Facility | | $30,269.45 | $43,952.90 | $51,582.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,571.90 / $31,034.93 / $57,965.28
| Facility | | $19,571.90 | $31,034.93 | $57,965.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,337.00 / $27,337.00 / $27,337.00
| Facility | | $27,337.00 | $27,337.00 | $27,337.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $25,362.88 / $50,006.72
| Facility | | $5,693.00 | $25,362.88 | $50,006.72 |