- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,650.40 / $31,063.50 / $50,371.10
| Facility | | $19,650.40 | $31,063.50 | $50,371.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,439.60 / $23,439.60 / $23,439.60
| Facility | | $23,439.60 | $23,439.60 | $23,439.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,706.17 / $27,765.48 / $63,916.02
| Facility | | $22,706.17 | $27,765.48 | $63,916.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,235.17 / $49,266.79
| Facility | | $100.00 | $23,235.17 | $49,266.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,030.52 / $32,604.00 / $57,193.94
| Facility | | $22,030.52 | $32,604.00 | $57,193.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,362.52 / $44,088.05 / $51,741.07
| Facility | | $30,362.52 | $44,088.05 | $51,741.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,633.91 / $27,579.72 / $57,692.78
| Facility | | $19,633.91 | $27,579.72 | $57,692.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,271.00 / $49,771.64
| Facility | | $5,693.00 | $24,271.00 | $49,771.64 |