- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,514.30 / $37,774.00 / $50,562.00
| Facility | | $16,514.30 | $37,774.00 | $50,562.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,172.71 / $23,444.70 / $49,382.93
| Facility | | $19,172.71 | $23,444.70 | $49,382.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,895.16 / $43,906.81
| Facility | | $100.00 | $20,895.16 | $43,906.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,037.35 / $34,760.62 / $46,023.58
| Facility | | $21,037.35 | $34,760.62 | $46,023.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,637.60 / $37,227.19 / $43,689.28
| Facility | | $25,637.60 | $37,227.19 | $43,689.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,600.84 / $26,599.20 / $49,680.48
| Facility | | $16,600.84 | $26,599.20 | $49,680.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $19,974.00 / $42,859.42
| Facility | | $5,693.00 | $19,974.00 | $42,859.42 |