- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,745.90 / $37,292.00 / $46,053.00
| Facility | | $21,745.90 | $37,292.00 | $46,053.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,309.51 / $32,309.51 / $32,309.51
| Facility | | $32,309.51 | $32,309.51 | $32,309.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,216.61 / $31,290.03 / $49,238.33
| Facility | | $23,216.61 | $31,290.03 | $49,238.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,996.19 / $46,037.86
| Facility | | $100.00 | $22,996.19 | $46,037.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,811.48 / $38,256.00 / $56,302.34
| Facility | | $23,811.48 | $38,256.00 | $56,302.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,045.08 / $45,079.15 / $52,904.21
| Facility | | $31,045.08 | $45,079.15 | $52,904.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,186.43 / $31,878.12 / $58,292.00
| Facility | | $20,186.43 | $31,878.12 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,051.96 / $53,335.44
| Facility | | $5,693.00 | $26,051.96 | $53,335.44 |