- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,085.10 / $38,073.80 / $61,738.80
| Facility | | $24,085.10 | $38,073.80 | $61,738.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,204.16 / $25,204.16 / $37,245.69
| Facility | | $25,204.16 | $25,204.16 | $37,245.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,471.68 / $30,736.77 / $70,239.20
| Facility | | $23,471.68 | $30,736.77 | $70,239.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $29,379.22 / $55,662.64
| Facility | | $100.00 | $29,379.22 | $55,662.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,532.87 / $42,615.00 / $70,712.75
| Facility | | $28,532.87 | $42,615.00 | $70,712.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,465.33 / $52,949.65 / $62,140.91
| Facility | | $36,465.33 | $52,949.65 | $62,140.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,473.04 / $34,663.04 / $70,712.75
| Facility | | $23,473.04 | $34,663.04 | $70,712.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $30,940.58 / $63,343.77
| Facility | | $5,693.00 | $30,940.58 | $63,343.77 |