- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.09 / $31,524.60 / $51,118.90
| Facility | | $19,942.09 | $31,524.60 | $51,118.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,940.92 / $28,052.54 / $64,576.81
| Facility | | $22,940.92 | $28,052.54 | $64,576.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,181.83 / $44,129.09
| Facility | | $100.00 | $22,181.83 | $44,129.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,134.00 / $33,088.00 / $58,042.97
| Facility | | $22,134.00 | $33,088.00 | $58,042.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,676.43 / $44,543.85 / $52,275.99
| Facility | | $30,676.43 | $44,543.85 | $52,275.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,830.22 / $27,961.01 / $58,549.22
| Facility | | $19,830.22 | $27,961.01 | $58,549.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $25,618.38 / $52,447.79
| Facility | | $5,693.00 | $25,618.38 | $52,447.79 |