- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $36,307.81 / $69,183.10
| Facility | | $20,417.38 | $36,307.81 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $38,904.51 / $66,069.34
| Facility | | $22,387.21 | $38,904.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,703.96 / $58,884.37
| Facility | | $100.00 | $25,703.96 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $31,622.78 / $56,234.13
| Facility | | $21,379.62 | $31,622.78 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $56,234.13
| Facility | | $56,234.13 | $56,234.13 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $33,884.42 / $63,095.73
| Facility | | $21,877.62 | $33,884.42 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $30,902.95 / $61,659.50
| Facility | | $5,754.40 | $30,902.95 | $61,659.50 |