- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,664.90 / $31,086.30 / $50,408.20
| Facility | | $19,664.90 | $31,086.30 | $50,408.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,400.06 / $26,168.35 / $60,239.42
| Facility | | $21,400.06 | $26,168.35 | $60,239.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,147.81 / $46,535.88
| Facility | | $100.00 | $22,147.81 | $46,535.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,046.74 / $32,628.00 / $57,236.04
| Facility | | $22,046.74 | $32,628.00 | $57,236.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,616.00 / $41,552.00 / $48,764.80
| Facility | | $28,616.00 | $41,552.00 | $48,764.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,532.91 / $27,572.29 / $57,735.25
| Facility | | $18,532.91 | $27,572.29 | $57,735.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $25,262.23 / $51,718.64
| Facility | | $5,693.00 | $25,262.23 | $51,718.64 |