- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,724.70 / $37,504.10 / $60,814.90
| Facility | | $23,724.70 | $37,504.10 | $60,814.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,681.79 / $28,079.78 / $37,945.08
| Facility | | $26,681.79 | $28,079.78 | $37,945.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,737.79 / $32,695.41 / $75,264.70
| Facility | | $26,737.79 | $32,695.41 | $75,264.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,275.19 / $56,921.66
| Facility | | $100.00 | $26,275.19 | $56,921.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,873.78 / $38,862.11 / $69,052.33
| Facility | | $23,873.78 | $38,862.11 | $69,052.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,753.58 / $51,916.15 / $60,928.01
| Facility | | $35,753.58 | $51,916.15 | $60,928.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,919.24 / $33,059.86 / $69,654.60
| Facility | | $22,919.24 | $33,059.86 | $69,654.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $30,477.58 / $62,395.88
| Facility | | $5,693.00 | $30,477.58 | $62,395.88 |