- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,073.00 / $30,150.70 / $48,891.10
| Facility | | $19,073.00 | $30,150.70 | $48,891.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,195.00 / $21,195.00 / $21,195.00
| Facility | | $21,195.00 | $21,195.00 | $21,195.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,175.27 / $27,116.28 / $62,421.56
| Facility | | $22,175.27 | $27,116.28 | $62,421.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,204.42 / $46,927.00
| Facility | | $100.00 | $23,204.42 | $46,927.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,383.20 / $31,646.00 / $55,513.41
| Facility | | $21,383.20 | $31,646.00 | $55,513.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,652.60 / $43,057.20 / $50,531.28
| Facility | | $29,652.60 | $43,057.20 | $50,531.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,185.00 / $26,769.35 / $55,997.60
| Facility | | $19,185.00 | $26,769.35 | $55,997.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,501.92 / $50,162.07
| Facility | | $5,693.00 | $24,501.92 | $50,162.07 |