- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $51,286.14 / $79,432.82
| Facility | | $25,703.96 | $51,286.14 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $58,884.37 / $72,443.60
| Facility | | $20,417.38 | $58,884.37 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $43,651.58 / $75,857.76
| Facility | | $100.00 | $43,651.58 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $70,794.58
| Facility | | $23,988.33 | $36,307.81 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $72,443.60 / $72,443.60
| Facility | | $72,443.60 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $40,738.03 / $70,794.58
| Facility | | $26,915.35 | $40,738.03 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $31,622.78 / $66,069.34
| Facility | | $7,943.28 | $31,622.78 | $66,069.34 |