- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,404.80 / $27,513.50 / $44,614.70
| Facility | | $17,404.80 | $27,513.50 | $44,614.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,589.51 / $41,589.51 / $41,589.51
| Facility | | $41,589.51 | $41,589.51 | $41,589.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,703.21 / $22,870.60 / $52,648.02
| Facility | | $18,703.21 | $22,870.60 | $52,648.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,828.21 / $38,192.78
| Facility | | $100.00 | $19,828.21 | $38,192.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,526.05 / $28,100.65 / $50,657.79
| Facility | | $17,526.05 | $28,100.65 | $50,657.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,009.80 / $36,315.60 / $42,619.44
| Facility | | $25,009.80 | $36,315.60 | $42,619.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,264.31 / $24,403.35 / $51,099.62
| Facility | | $16,264.31 | $24,403.35 | $51,099.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,017.00 / $24,406.24 / $49,629.73
| Facility | | $5,017.00 | $24,406.24 | $49,629.73 |