- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $47,863.01 / $87,096.36
| Facility | | $27,542.29 | $47,863.01 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $44,668.36 / $74,131.02
| Facility | | $29,512.09 | $44,668.36 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $38,018.94 / $69,183.10
| Facility | | $100.00 | $38,018.94 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $41,686.94 / $72,443.60
| Facility | | $27,542.29 | $41,686.94 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $74,131.02 / $74,131.02
| Facility | | $74,131.02 | $74,131.02 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $43,651.58 / $72,443.60
| Facility | | $28,840.32 | $43,651.58 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $41,686.94 / $79,432.82
| Facility | | $5,754.40 | $41,686.94 | $79,432.82 |