- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,671.20 / $43,540.60 / $59,320.60
| Facility | | $27,671.20 | $43,540.60 | $59,320.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,802.79 / $36,408.48 / $83,200.12
| Facility | | $27,802.79 | $36,408.48 | $83,200.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $29,728.05 / $65,452.56
| Facility | | $100.00 | $29,728.05 | $65,452.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,325.23 / $47,750.78 / $84,565.31
| Facility | | $33,325.23 | $47,750.78 | $84,565.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,194.10 / $62,720.20 / $73,607.48
| Facility | | $43,194.10 | $62,720.20 | $73,607.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,702.54 / $38,836.96 / $84,565.31
| Facility | | $27,702.54 | $38,836.96 | $84,565.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $35,547.37 / $72,775.11
| Facility | | $5,693.00 | $35,547.37 | $72,775.11 |