- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,788.10 / $36,023.50 / $58,414.10
| Facility | | $22,788.10 | $36,023.50 | $58,414.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,796.55 / $28,543.15 / $65,226.39
| Facility | | $21,796.55 | $28,543.15 | $65,226.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,423.56 / $50,016.33
| Facility | | $100.00 | $25,423.56 | $50,016.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,315.58 / $38,549.19 / $66,904.80
| Facility | | $24,315.58 | $38,549.19 | $66,904.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,862.87 / $49,170.75 / $57,706.05
| Facility | | $33,862.87 | $49,170.75 | $57,706.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,833.60 / $31,754.73 / $66,904.80
| Facility | | $21,833.60 | $31,754.73 | $66,904.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $29,274.39 / $59,932.63
| Facility | | $5,693.00 | $29,274.39 | $59,932.63 |