- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,045.30 / $38,010.90 / $61,636.80
| Facility | | $24,045.30 | $38,010.90 | $61,636.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,839.75 / $31,597.28 / $72,736.78
| Facility | | $25,839.75 | $31,597.28 | $72,736.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,410.64 / $53,701.84
| Facility | | $100.00 | $26,410.64 | $53,701.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,978.83 / $39,455.21 / $69,985.56
| Facility | | $24,978.83 | $39,455.21 | $69,985.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,552.73 / $50,172.45 / $58,881.63
| Facility | | $34,552.73 | $50,172.45 | $58,881.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,167.05 / $33,714.11 / $70,595.97
| Facility | | $22,167.05 | $33,714.11 | $70,595.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $30,889.48 / $63,239.15
| Facility | | $5,693.00 | $30,889.48 | $63,239.15 |