- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,441.90 / $38,637.80 / $62,653.40
| Facility | | $24,441.90 | $38,637.80 | $62,653.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,957.16 / $30,062.99 / $68,699.50
| Facility | | $22,957.16 | $30,062.99 | $68,699.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,450.53 / $51,820.98
| Facility | | $100.00 | $25,450.53 | $51,820.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,608.91 / $42,029.41 / $71,760.30
| Facility | | $26,608.91 | $42,029.41 | $71,760.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,665.98 / $51,788.95 / $60,778.73
| Facility | | $35,665.98 | $51,788.95 | $60,778.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,863.41 / $34,059.28 / $71,760.30
| Facility | | $22,863.41 | $34,059.28 | $71,760.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $31,398.93 / $64,282.15
| Facility | | $5,693.00 | $31,398.93 | $64,282.15 |