- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,060.40 / $29,221.10 / $40,105.19
| Facility | | $20,060.40 | $29,221.10 | $40,105.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,441.00 / $25,246.00 / $44,792.38
| Facility | | $17,441.00 | $25,246.00 | $44,792.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,125.00 / $42,046.11
| Facility | | $100.00 | $20,125.00 | $42,046.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,606.94 / $28,729.07 / $50,882.32
| Facility | | $21,606.94 | $28,729.07 | $50,882.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,241.88 / $41,008.75 / $48,127.25
| Facility | | $28,241.88 | $41,008.75 | $48,127.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,572.08 / $26,376.24 / $54,925.28
| Facility | | $18,572.08 | $26,376.24 | $54,925.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,032.72 / $49,201.50
| Facility | | $5,693.00 | $24,032.72 | $49,201.50 |