- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,068.50 / $34,885.90 / $56,569.40
| Facility | | $22,068.50 | $34,885.90 | $56,569.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,888.49 / $30,434.06 / $70,059.06
| Facility | | $24,888.49 | $30,434.06 | $70,059.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $24,563.76 / $53,829.65
| Facility | | $100.00 | $24,563.76 | $53,829.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,898.65 / $36,616.00 / $64,231.79
| Facility | | $23,898.65 | $36,616.00 | $64,231.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,280.69 / $48,325.40 / $56,713.96
| Facility | | $33,280.69 | $48,325.40 | $56,713.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,466.24 / $30,751.95 / $64,792.01
| Facility | | $21,466.24 | $30,751.95 | $64,792.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $28,349.94 / $58,040.02
| Facility | | $5,693.00 | $28,349.94 | $58,040.02 |