- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,263.30 / $41,517.00 / $67,322.20
| Facility | | $26,263.30 | $41,517.00 | $67,322.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,420.17 / $34,597.90 / $79,062.61
| Facility | | $26,420.17 | $34,597.90 | $79,062.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,189.23 / $60,698.22
| Facility | | $100.00 | $31,189.23 | $60,698.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,629.64 / $48,037.83 / $76,441.02
| Facility | | $31,629.64 | $48,037.83 | $76,441.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,046.08 / $59,601.15 / $69,947.00
| Facility | | $41,046.08 | $59,601.15 | $69,947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,365.03 / $37,797.82 / $77,107.73
| Facility | | $26,365.03 | $37,797.82 | $77,107.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $33,738.72 / $69,072.32
| Facility | | $5,693.00 | $33,738.72 | $69,072.32 |