- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,372.90 / $41,690.40 / $67,603.39
| Facility | | $26,372.90 | $41,690.40 | $67,603.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,821.92 / $35,124.00 / $80,264.84
| Facility | | $26,821.92 | $35,124.00 | $80,264.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,196.24 / $66,178.82
| Facility | | $100.00 | $31,196.24 | $66,178.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,918.48 / $45,510.51 / $77,429.78
| Facility | | $30,918.48 | $45,510.51 | $77,429.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,670.23 / $60,507.45 / $71,010.63
| Facility | | $41,670.23 | $60,507.45 | $71,010.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,743.90 / $36,977.69 / $77,429.78
| Facility | | $26,743.90 | $36,977.69 | $77,429.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $33,879.62 / $69,360.81
| Facility | | $5,693.00 | $33,879.62 | $69,360.81 |