- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $31,622.78 / $66,069.34
| Facility | | $20,892.96 | $31,622.78 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $26,915.35 / $56,234.13
| Facility | | $21,877.62 | $26,915.35 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,703.96 / $53,703.18
| Facility | | $100.00 | $25,703.96 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,199.52 / $54,954.09
| Facility | | $21,379.62 | $30,199.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $29,512.09 / $61,659.50
| Facility | | $22,387.21 | $29,512.09 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $27,542.29 / $60,255.96
| Facility | | $5,754.40 | $27,542.29 | $60,255.96 |