- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,912.00 / $39,381.00 / $63,858.40
| Facility | | $24,912.00 | $39,381.00 | $63,858.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,236.74 / $30,429.11 / $69,536.14
| Facility | | $23,236.74 | $30,429.11 | $69,536.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,599.70 / $57,377.05
| Facility | | $100.00 | $26,599.70 | $57,377.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,956.00 / $40,806.99 / $72,508.10
| Facility | | $25,956.00 | $40,806.99 | $72,508.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,100.33 / $52,419.65 / $61,518.91
| Facility | | $36,100.33 | $52,419.65 | $61,518.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,241.13 / $34,704.51 / $67,756.75
| Facility | | $23,241.13 | $34,704.51 | $67,756.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $32,002.85 / $65,518.52
| Facility | | $5,693.00 | $32,002.85 | $65,518.52 |