- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,407.20 / $35,421.30 / $57,437.70
| Facility | | $22,407.20 | $35,421.30 | $57,437.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,909.66 / $27,381.74 / $62,572.34
| Facility | | $20,909.66 | $27,381.74 | $62,572.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,875.72 / $53,259.00
| Facility | | $100.00 | $24,875.72 | $53,259.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,554.01 / $38,666.98 / $65,786.47
| Facility | | $24,554.01 | $38,666.98 | $65,786.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,485.00 / $47,170.00 / $55,358.00
| Facility | | $32,485.00 | $47,170.00 | $55,358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,966.81 / $31,223.94 / $65,786.47
| Facility | | $20,966.81 | $31,223.94 | $65,786.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $28,785.07 / $58,930.85
| Facility | | $5,693.00 | $28,785.07 | $58,930.85 |