- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,139.60 / $34,998.30 / $56,751.70
| Facility | | $22,139.60 | $34,998.30 | $56,751.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,592.73 / $37,689.87 / $48,016.80
| Facility | | $28,592.73 | $37,689.87 | $48,016.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,902.14 / $30,450.74 / $70,097.48
| Facility | | $24,902.14 | $30,450.74 | $70,097.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,947.94 / $49,240.44
| Facility | | $100.00 | $23,947.94 | $49,240.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,220.13 / $36,265.64 / $64,438.78
| Facility | | $22,220.13 | $36,265.64 | $64,438.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,298.94 / $48,351.90 / $56,745.06
| Facility | | $33,298.94 | $48,351.90 | $56,745.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,478.85 / $30,851.05 / $65,000.81
| Facility | | $21,478.85 | $30,851.05 | $65,000.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,508.92 / $56,076.29
| Facility | | $5,693.00 | $24,508.92 | $56,076.29 |