- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,842.09 / $31,366.40 / $50,862.40
| Facility | | $19,842.09 | $31,366.40 | $50,862.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,618.83 / $27,658.67 / $63,670.15
| Facility | | $22,618.83 | $27,658.67 | $63,670.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,423.46 / $49,084.15
| Facility | | $100.00 | $23,423.46 | $49,084.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,134.00 / $32,922.00 / $57,751.77
| Facility | | $22,134.00 | $32,922.00 | $57,751.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,245.73 / $43,918.45 / $51,542.03
| Facility | | $30,245.73 | $43,918.45 | $51,542.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,559.29 / $27,820.74 / $58,255.48
| Facility | | $19,559.29 | $27,820.74 | $58,255.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $25,489.86 / $52,184.66
| Facility | | $5,693.00 | $25,489.86 | $52,184.66 |