- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,831.20 / $39,253.30 / $63,651.40
| Facility | | $24,831.20 | $39,253.30 | $63,651.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,976.46 / $36,655.71 / $84,381.29
| Facility | | $29,976.46 | $36,655.71 | $84,381.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,056.17 / $54,058.51
| Facility | | $100.00 | $28,056.17 | $54,058.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,299.60 / $40,674.69 / $72,273.03
| Facility | | $25,299.60 | $40,674.69 | $72,273.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,084.30 / $58,204.60 / $68,308.03
| Facility | | $40,084.30 | $58,204.60 | $68,308.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,059.55 / $34,601.82 / $72,903.39
| Facility | | $23,059.55 | $34,601.82 | $72,903.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $27,488.64 / $62,893.86
| Facility | | $5,717.00 | $27,488.64 | $62,893.86 |