- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,809.76 / $42,028.00 / $46,327.70
| Facility | | $22,809.76 | $42,028.00 | $46,327.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,137.00 / $26,997.16 / $48,905.00
| Facility | | $10,137.00 | $26,997.16 | $48,905.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,485.65 / $51,019.03
| Facility | | $100.00 | $22,485.65 | $51,019.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,307.76 / $42,615.00 / $58,292.00
| Facility | | $24,307.76 | $42,615.00 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,028.75 / $46,507.50 / $54,580.50
| Facility | | $32,028.75 | $46,507.50 | $54,580.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,031.28 / $33,969.97 / $58,292.00
| Facility | | $21,031.28 | $33,969.97 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,878.00 / $28,878.00 / $28,878.00
| Facility | | $28,878.00 | $28,878.00 | $28,878.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $27,761.51 / $54,735.98
| Facility | | $5,760.00 | $27,761.51 | $54,735.98 |