- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,343.50 / $40,063.10 / $64,964.60
| Facility | | $25,343.50 | $40,063.10 | $64,964.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,039.90 / $32,790.40 / $74,932.13
| Facility | | $25,039.90 | $32,790.40 | $74,932.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $30,887.88 / $59,199.22
| Facility | | $100.00 | $30,887.88 | $59,199.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,912.00 / $41,513.86 / $74,407.48
| Facility | | $26,912.00 | $41,513.86 | $74,407.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,901.69 / $56,487.40 / $66,292.75
| Facility | | $38,901.69 | $56,487.40 | $66,292.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,003.42 / $35,570.10 / $74,407.48
| Facility | | $25,003.42 | $35,570.10 | $74,407.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $32,557.21 / $66,653.46
| Facility | | $5,693.00 | $32,557.21 | $66,653.46 |