- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,365.20 / $32,193.40 / $52,203.40
| Facility | | $20,365.20 | $32,193.40 | $52,203.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,850.84 / $27,942.39 / $64,323.25
| Facility | | $22,850.84 | $27,942.39 | $64,323.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,649.47 / $51,969.35
| Facility | | $100.00 | $22,649.47 | $51,969.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,047.64 / $35,143.29 / $59,791.41
| Facility | | $23,047.64 | $35,143.29 | $59,791.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,555.98 / $44,368.95 / $52,070.73
| Facility | | $30,555.98 | $44,368.95 | $52,070.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,760.21 / $28,582.96 / $59,791.41
| Facility | | $19,760.21 | $28,582.96 | $59,791.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,161.91 / $53,560.53
| Facility | | $5,693.00 | $26,161.91 | $53,560.53 |