- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,171.60 / $37,359.30 / $50,899.00
| Facility | | $23,171.60 | $37,359.30 | $50,899.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,601.71 / $33,751.83 / $77,696.56
| Facility | | $27,601.71 | $33,751.83 | $77,696.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $27,225.29 / $51,501.77
| Facility | | $100.00 | $27,225.29 | $51,501.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,740.00 / $38,987.82 / $69,104.95
| Facility | | $25,740.00 | $38,987.82 | $69,104.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,908.80 / $53,593.60 / $62,896.64
| Facility | | $36,908.80 | $53,593.60 | $62,896.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,644.08 / $33,085.05 / $64,576.61
| Facility | | $23,644.08 | $33,085.05 | $64,576.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $30,500.80 / $62,443.43
| Facility | | $5,693.00 | $30,500.80 | $62,443.43 |