- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $45,708.82 / $85,113.80
| Facility | | $25,703.96 | $45,708.82 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $47,863.01 / $83,176.38
| Facility | | $28,183.83 | $47,863.01 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $66,069.34
| Facility | | $100.00 | $100.00 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $32,359.37 / $83,176.38
| Facility | | $18,620.87 | $32,359.37 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $32,359.37 / $83,176.38
| Facility | | $18,620.87 | $32,359.37 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $38,904.51 / $77,624.71
| Facility | | $5,754.40 | $38,904.51 | $77,624.71 |