- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $40,738.03 / $75,857.76
| Facility | | $22,387.21 | $40,738.03 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $43,651.58 / $72,443.60
| Facility | | $10,232.93 | $43,651.58 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,302.68 / $61,659.50
| Facility | | $100.00 | $26,302.68 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $35,481.34 / $61,659.50
| Facility | | $23,442.29 | $35,481.34 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,018.94 / $69,183.10
| Facility | | $23,988.33 | $38,018.94 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $33,884.42 / $69,183.10
| Facility | | $5,754.40 | $33,884.42 | $69,183.10 |