- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,537.59 / $32,465.90 / $52,645.30
| Facility | | $20,537.59 | $32,465.90 | $52,645.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,186.00 / $24,657.41 / $56,346.74
| Facility | | $16,186.00 | $24,657.41 | $56,346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,655.48 / $47,531.77
| Facility | | $100.00 | $21,655.48 | $47,531.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,756.84 / $35,440.74 / $60,297.48
| Facility | | $22,756.84 | $35,440.74 | $60,297.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,252.93 / $42,476.85 / $49,850.19
| Facility | | $29,252.93 | $42,476.85 | $49,850.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,933.58 / $28,618.73 / $60,297.48
| Facility | | $18,933.58 | $28,618.73 | $60,297.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $26,383.34 / $54,013.87
| Facility | | $5,693.00 | $26,383.34 | $54,013.87 |