- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,015.70 / $31,640.80 / $51,307.40
| Facility | | $20,015.70 | $31,640.80 | $51,307.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,529.38 / $25,574.23 / $58,441.86
| Facility | | $19,529.38 | $25,574.23 | $58,441.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,419.31 / $45,005.18
| Facility | | $100.00 | $22,419.31 | $45,005.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,210.38 / $32,786.57 / $58,292.00
| Facility | | $22,210.38 | $32,786.57 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,340.63 / $44,056.25 / $51,703.75
| Facility | | $30,340.63 | $44,056.25 | $51,703.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,748.63 / $27,891.42 / $58,292.00
| Facility | | $19,748.63 | $27,891.42 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,069.00 / $28,067.43 / $57,074.71
| Facility | | $5,069.00 | $28,067.43 | $57,074.71 |