- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,009.90 / $36,374.10 / $58,982.60
| Facility | | $23,009.90 | $36,374.10 | $58,982.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,285.04 / $25,254.27 / $57,710.68
| Facility | | $19,285.04 | $25,254.27 | $57,710.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,778.77 / $50,065.42
| Facility | | $100.00 | $23,778.77 | $50,065.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,816.44 / $39,707.03 / $67,555.97
| Facility | | $25,816.44 | $39,707.03 | $67,555.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,961.02 / $43,505.05 / $51,056.87
| Facility | | $29,961.02 | $43,505.05 | $51,056.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,380.18 / $32,063.79 / $67,555.97
| Facility | | $19,380.18 | $32,063.79 | $67,555.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $29,559.32 / $60,515.95
| Facility | | $5,693.00 | $29,559.32 | $60,515.95 |