- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,414.90 / $37,014.30 / $60,020.80
| Facility | | $23,414.90 | $37,014.30 | $60,020.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,175.19 / $30,695.45 / $38,362.94
| Facility | | $25,175.19 | $30,695.45 | $38,362.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,778.74 / $32,745.48 / $68,973.70
| Facility | | $26,778.74 | $32,745.48 | $68,973.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $26,680.55 / $55,661.36
| Facility | | $100.00 | $26,680.55 | $55,661.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,629.90 / $38,596.94 / $68,150.67
| Facility | | $25,629.90 | $38,596.94 | $68,150.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,808.33 / $51,995.65 / $61,021.31
| Facility | | $35,808.33 | $51,995.65 | $61,021.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,955.74 / $32,628.17 / $63,684.86
| Facility | | $22,955.74 | $32,628.17 | $63,684.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $30,079.61 / $61,581.14
| Facility | | $5,693.00 | $30,079.61 | $61,581.14 |