- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,745.60 / $48,900.80 / $66,195.00
| Facility | | $23,745.60 | $48,900.80 | $66,195.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,092.64 / $39,206.00 / $58,828.00
| Facility | | $27,092.64 | $39,206.00 | $58,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,759.46 / $57,576.53
| Facility | | $100.00 | $23,759.46 | $57,576.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,069.86 / $47,563.00 / $61,889.39
| Facility | | $26,069.86 | $47,563.00 | $61,889.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,228.08 / $52,605.15 / $61,736.61
| Facility | | $36,228.08 | $52,605.15 | $61,736.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,321.51 / $36,552.58 / $63,245.54
| Facility | | $23,321.51 | $36,552.58 | $63,245.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,560.00 / $39,560.00 / $39,560.00
| Facility | | $39,560.00 | $39,560.00 | $39,560.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $29,872.11 / $61,156.33
| Facility | | $5,693.00 | $29,872.11 | $61,156.33 |