- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,328.10 / $36,877.10 / $59,798.30
| Facility | | $23,328.10 | $36,877.10 | $59,798.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,064.38 / $34,317.58 / $78,998.92
| Facility | | $28,064.38 | $34,317.58 | $78,998.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,342.96 / $57,220.05
| Facility | | $100.00 | $26,342.96 | $57,220.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,361.84 / $38,212.50 / $67,898.07
| Facility | | $23,361.84 | $38,212.50 | $67,898.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,527.48 / $54,491.95 / $63,950.93
| Facility | | $37,527.48 | $54,491.95 | $63,950.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,025.87 / $32,708.51 / $68,490.27
| Facility | | $24,025.87 | $32,708.51 | $68,490.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $29,968.12 / $61,352.88
| Facility | | $5,693.00 | $29,968.12 | $61,352.88 |