- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,502.40 / $43,475.90 / $70,498.60
| Facility | | $27,502.40 | $43,475.90 | $70,498.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,599.04 / $42,308.28 / $97,393.47
| Facility | | $34,599.04 | $42,308.28 | $97,393.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $35,075.23 / $73,250.67
| Facility | | $100.00 | $35,075.23 | $73,250.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,944.61 / $47,459.56 / $82,264.64
| Facility | | $32,944.61 | $47,459.56 | $82,264.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,265.58 / $67,180.14 / $78,841.61
| Facility | | $46,265.58 | $67,180.14 | $78,841.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,637.05 / $38,600.11 / $82,264.64
| Facility | | $29,637.05 | $38,600.11 | $82,264.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,620.00 / $27,874.31 / $69,659.53
| Facility | | $4,620.00 | $27,874.31 | $69,659.53 |