- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,943.80 / $33,108.10 / $53,686.60
| Facility | | $20,943.80 | $33,108.10 | $53,686.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,236.88 / $25,191.20 / $57,566.55
| Facility | | $19,236.88 | $25,191.20 | $57,566.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,148.54 / $51,037.95
| Facility | | $100.00 | $24,148.54 | $51,037.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,811.50 / $38,077.86 / $61,490.13
| Facility | | $24,811.50 | $38,077.86 | $61,490.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,886.20 / $43,396.40 / $50,929.36
| Facility | | $29,886.20 | $43,396.40 | $50,929.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,450.00 / $29,395.03 / $61,490.13
| Facility | | $19,450.00 | $29,395.03 | $61,490.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,905.19 / $55,082.23
| Facility | | $5,693.00 | $26,905.19 | $55,082.23 |