- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,527.50 / $42,910.40 / $51,813.30
| Facility | | $22,527.50 | $42,910.40 | $51,813.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,102.00 / $38,120.12 / $66,510.19
| Facility | | $5,102.00 | $38,120.12 | $66,510.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,101.96 / $35,031.68 / $39,875.76
| Facility | | $24,101.96 | $35,031.68 | $39,875.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,200.00 / $27,885.00 / $59,999.40
| Facility | | $6,200.00 | $27,885.00 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,135.00 / $35,332.25 / $55,855.58
| Facility | | $4,135.00 | $35,332.25 | $55,855.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,844.61 / $33,582.44 / $38,798.71
| Facility | | $19,844.61 | $33,582.44 | $38,798.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,755.00 / $29,889.49 / $48,338.61
| Facility | | $3,755.00 | $29,889.49 | $48,338.61 |