- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,814.10 / $34,483.80 / $55,917.40
| Facility | | $21,814.10 | $34,483.80 | $55,917.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,596.02 / $28,853.61 / $66,420.88
| Facility | | $23,596.02 | $28,853.61 | $66,420.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,714.97 / $46,781.53
| Facility | | $100.00 | $24,714.97 | $46,781.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,631.56 / $36,194.00 / $63,491.51
| Facility | | $23,631.56 | $36,194.00 | $63,491.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,552.43 / $45,815.85 / $53,768.79
| Facility | | $31,552.43 | $45,815.85 | $53,768.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,380.15 / $30,585.74 / $64,045.28
| Facility | | $20,380.15 | $30,585.74 | $64,045.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $28,023.20 / $57,371.11
| Facility | | $5,693.00 | $28,023.20 | $57,371.11 |