- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,794.80 / $29,095.10 / $40,835.00
| Facility | | $18,794.80 | $29,095.10 | $40,835.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,694.83 / $28,694.83 / $28,694.83
| Facility | | $28,694.83 | $28,694.83 | $28,694.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,459.71 / $25,018.47 / $52,697.86
| Facility | | $20,459.71 | $25,018.47 | $52,697.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,768.50 / $42,730.83
| Facility | | $100.00 | $19,768.50 | $42,730.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,403.59 / $29,507.66 / $53,569.76
| Facility | | $18,403.59 | $29,507.66 | $53,569.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,358.58 / $39,726.15 / $46,622.01
| Facility | | $27,358.58 | $39,726.15 | $46,622.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,743.02 / $25,647.34 / $54,036.99
| Facility | | $17,743.02 | $25,647.34 | $54,036.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,644.05 / $48,405.78
| Facility | | $5,693.00 | $23,644.05 | $48,405.78 |