- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,169.00 / $44,529.60 / $72,207.30
| Facility | | $28,169.00 | $44,529.60 | $72,207.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,802.61 / $32,479.66 / $74,222.03
| Facility | | $24,802.61 | $32,479.66 | $74,222.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,493.40 / $59,797.11
| Facility | | $100.00 | $28,493.40 | $59,797.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,309.95 / $47,651.73 / $82,702.89
| Facility | | $31,309.95 | $47,651.73 | $82,702.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,533.05 / $55,952.10 / $65,664.53
| Facility | | $38,533.05 | $55,952.10 | $65,664.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,771.53 / $39,252.91 / $82,702.89
| Facility | | $24,771.53 | $39,252.91 | $82,702.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $36,186.90 / $74,084.39
| Facility | | $5,693.00 | $36,186.90 | $74,084.39 |