- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,809.76 / $41,736.10 / $63,548.20
| Facility | | $22,809.76 | $41,736.10 | $63,548.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,519.15 / $33,519.15 / $33,519.15
| Facility | | $33,519.15 | $33,519.15 | $33,519.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,559.00 / $35,455.51 / $82,208.80
| Facility | | $19,559.00 | $35,455.51 | $82,208.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,910.59 / $64,774.16
| Facility | | $100.00 | $31,910.59 | $64,774.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,846.00 / $47,919.95 / $86,278.57
| Facility | | $25,846.00 | $47,919.95 | $86,278.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,679.45 / $61,972.90 / $72,730.46
| Facility | | $42,679.45 | $61,972.90 | $72,730.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,378.78 / $41,307.18 / $87,031.09
| Facility | | $27,378.78 | $41,307.18 | $87,031.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $35,185.00 / $75,081.84
| Facility | | $5,760.00 | $35,185.00 | $75,081.84 |