- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $38,904.51 / $72,443.60
| Facility | | $21,379.62 | $38,904.51 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $41,686.94 / $69,183.10
| Facility | | $10,232.93 | $41,686.94 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $38,904.51 / $60,255.96
| Facility | | $100.00 | $38,904.51 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $32,359.37 / $58,884.37
| Facility | | $22,387.21 | $32,359.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $60,255.96 / $60,255.96
| Facility | | $60,255.96 | $60,255.96 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,113.11 / $66,069.34
| Facility | | $22,908.68 | $33,113.11 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $32,359.37 / $66,069.34
| Facility | | $5,754.40 | $32,359.37 | $66,069.34 |