- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $50,118.72 / $81,283.05
| Facility | | $25,703.96 | $50,118.72 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $53,703.18 / $69,183.10
| Facility | | $27,542.29 | $53,703.18 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $45,708.82 / $70,794.58
| Facility | | $100.00 | $45,708.82 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $38,904.51 / $67,608.30
| Facility | | $26,302.68 | $38,904.51 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $69,183.10 / $69,183.10
| Facility | | $69,183.10 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $48,977.88 / $69,183.10
| Facility | | $27,542.29 | $48,977.88 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $39,810.72
| Facility | | $39,810.72 | $39,810.72 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $38,904.51 / $75,857.76
| Facility | | $5,754.40 | $38,904.51 | $75,857.76 |