- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,372.90 / $33,786.40 / $54,786.60
| Facility | | $21,372.90 | $33,786.40 | $54,786.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,856.70 / $29,172.37 / $67,154.66
| Facility | | $23,856.70 | $29,172.37 | $67,154.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,750.40 / $47,292.49
| Facility | | $100.00 | $25,750.40 | $47,292.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,591.97 / $35,462.00 / $62,207.44
| Facility | | $22,591.97 | $35,462.00 | $62,207.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,901.00 / $46,322.00 / $54,362.80
| Facility | | $31,901.00 | $46,322.00 | $54,362.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,604.04 / $29,967.16 / $62,750.01
| Facility | | $20,604.04 | $29,967.16 | $62,750.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $27,456.45 / $56,210.82
| Facility | | $5,693.00 | $27,456.45 | $56,210.82 |