- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,087.30 / $33,334.80 / $54,054.30
| Facility | | $21,087.30 | $33,334.80 | $54,054.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,056.93 / $28,194.39 / $64,903.36
| Facility | | $23,056.93 | $28,194.39 | $64,903.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $23,091.64 / $49,523.85
| Facility | | $100.00 | $23,091.64 | $49,523.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,022.24 / $34,541.90 / $61,375.95
| Facility | | $22,022.24 | $34,541.90 | $61,375.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,831.55 / $44,769.10 / $52,540.34
| Facility | | $30,831.55 | $44,769.10 | $52,540.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,925.50 / $29,566.61 / $61,911.27
| Facility | | $19,925.50 | $29,566.61 | $61,911.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $27,089.46 / $55,459.48
| Facility | | $5,693.00 | $27,089.46 | $55,459.48 |