- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,984.10 / $42,656.50 / $69,169.89
| Facility | | $26,984.10 | $42,656.50 | $69,169.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,558.05 / $34,341.00 / $78,475.55
| Facility | | $19,558.05 | $34,341.00 | $78,475.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $30,477.07 / $69,249.37
| Facility | | $100.00 | $30,477.07 | $69,249.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,765.56 / $46,166.20 / $79,224.05
| Facility | | $30,765.56 | $46,166.20 | $79,224.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,741.30 / $59,158.60 / $69,427.64
| Facility | | $40,741.30 | $59,158.60 | $69,427.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,031.71 / $37,759.35 / $79,224.05
| Facility | | $26,031.71 | $37,759.35 | $79,224.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $34,664.72 / $70,968.10
| Facility | | $5,693.00 | $34,664.72 | $70,968.10 |