- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,278.00 / $30,474.70 / $49,416.40
| Facility | | $19,278.00 | $30,474.70 | $49,416.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,735.45 / $23,735.45 / $23,735.45
| Facility | | $23,735.45 | $23,735.45 | $23,735.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,601.08 / $27,636.98 / $63,620.20
| Facility | | $22,601.08 | $27,636.98 | $63,620.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,688.67 / $59,250.00
| Facility | | $100.00 | $22,688.67 | $59,250.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,612.94 / $31,986.00 / $56,109.84
| Facility | | $21,612.94 | $31,986.00 | $56,109.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,222.00 / $43,884.00 / $51,501.60
| Facility | | $30,222.00 | $43,884.00 | $51,501.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,543.18 / $27,056.96 / $56,599.23
| Facility | | $19,543.18 | $27,056.96 | $56,599.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,765.16 / $50,701.01
| Facility | | $5,693.00 | $24,765.16 | $50,701.01 |