- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,678.00 / $54,434.70 / $80,654.89
| Facility | | $24,678.00 | $54,434.70 | $80,654.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,773.56 / $52,819.06 / $120,701.34
| Facility | | $28,773.56 | $52,819.06 | $120,701.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $43,495.45 / $92,386.63
| Facility | | $100.00 | $43,495.45 | $92,386.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,560.51 / $59,140.50 / $102,328.54
| Facility | | $37,560.51 | $59,140.50 | $102,328.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,663.20 / $90,990.40 / $106,784.96
| Facility | | $62,663.20 | $90,990.40 | $106,784.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,783.37 / $52,751.40 / $102,328.54
| Facility | | $39,783.37 | $52,751.40 | $102,328.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $38,475.03 / $95,293.36
| Facility | | $5,760.00 | $38,475.03 | $95,293.36 |