- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,652.40 / $37,389.69 / $60,629.50
| Facility | | $23,652.40 | $37,389.69 | $60,629.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,262.84 / $32,114.64 / $73,927.75
| Facility | | $26,262.84 | $32,114.64 | $73,927.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,956.69 / $56,703.24
| Facility | | $100.00 | $25,956.69 | $56,703.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,714.35 / $39,037.46 / $68,841.82
| Facility | | $24,714.35 | $39,037.46 | $68,841.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,118.48 / $50,993.95 / $59,845.73
| Facility | | $35,118.48 | $50,993.95 | $59,845.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,522.64 / $32,959.07 / $69,442.25
| Facility | | $22,522.64 | $32,959.07 | $69,442.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $30,384.67 / $62,205.66
| Facility | | $5,693.00 | $30,384.67 | $62,205.66 |