- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,513.50 / $40,331.80 / $65,400.30
| Facility | | $25,513.50 | $40,331.80 | $65,400.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,559.00 / $31,955.10 / $73,023.32
| Facility | | $19,559.00 | $31,955.10 | $73,023.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,412.74 / $60,054.64
| Facility | | $100.00 | $28,412.74 | $60,054.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,424.00 / $43,159.59 / $74,906.47
| Facility | | $28,424.00 | $43,159.59 | $74,906.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,910.73 / $55,048.45 / $64,604.03
| Facility | | $37,910.73 | $55,048.45 | $64,604.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,265.21 / $35,552.53 / $74,906.47
| Facility | | $24,265.21 | $35,552.53 | $74,906.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $32,775.55 / $67,100.45
| Facility | | $5,693.00 | $32,775.55 | $67,100.45 |