- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,461.40 / $28,053.20 / $59,547.20
| Facility | | $16,461.40 | $28,053.20 | $59,547.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,008.54 / $21,191.20 / $50,374.24
| Facility | | $12,008.54 | $21,191.20 | $50,374.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,693.62 / $40,447.57
| Facility | | $100.00 | $19,693.62 | $40,447.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,982.00 / $30,692.67 / $51,547.41
| Facility | | $19,982.00 | $30,692.67 | $51,547.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,566.30 / $44,566.30 / $44,566.30
| Facility | | $44,566.30 | $44,566.30 | $44,566.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,983.02 / $23,781.10 / $58,292.00
| Facility | | $16,983.02 | $23,781.10 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $22,885.55 / $46,826.18
| Facility | | $5,760.00 | $22,885.55 | $46,826.18 |