- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,479.50 / $35,371.60 / $48,190.90
| Facility | | $22,479.50 | $35,371.60 | $48,190.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,334.78 / $30,979.79 / $71,315.33
| Facility | | $25,334.78 | $30,979.79 | $71,315.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,852.10 / $47,902.77
| Facility | | $100.00 | $25,852.10 | $47,902.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,590.97 / $37,263.03 / $65,428.15
| Facility | | $23,590.97 | $37,263.03 | $65,428.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,877.48 / $49,191.95 / $57,730.93
| Facility | | $33,877.48 | $49,191.95 | $57,730.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,841.64 / $31,324.73 / $65,998.81
| Facility | | $21,841.64 | $31,324.73 | $65,998.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $28,877.98 / $59,121.06
| Facility | | $5,693.00 | $28,877.98 | $59,121.06 |