- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,784.30 / $43,941.20 / $93,272.10
| Facility | | $25,784.30 | $43,941.20 | $93,272.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,440.00 / $33,701.85 / $80,113.67
| Facility | | $16,440.00 | $33,701.85 | $80,113.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,595.51 / $66,824.92
| Facility | | $100.00 | $31,595.51 | $66,824.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,818.36 / $45,591.63 / $77,567.80
| Facility | | $31,818.36 | $45,591.63 | $77,567.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,876.89 / $70,876.89 / $70,876.89
| Facility | | $70,876.89 | $70,876.89 | $70,876.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,562.80 / $37,249.64 / $79,554.31
| Facility | | $26,562.80 | $37,249.64 | $79,554.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $35,846.89 / $73,346.39
| Facility | | $5,760.00 | $35,846.89 | $73,346.39 |