- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,078.40 / $27,986.10 / $40,835.00
| Facility | | $18,078.40 | $27,986.10 | $40,835.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,856.47 / $24,280.82 / $55,894.34
| Facility | | $19,856.47 | $24,280.82 | $55,894.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,705.22 / $39,451.37
| Facility | | $100.00 | $19,705.22 | $39,451.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,848.00 / $29,374.00 / $51,527.87
| Facility | | $19,848.00 | $29,374.00 | $51,527.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,551.93 / $38,554.85 / $45,247.39
| Facility | | $26,551.93 | $38,554.85 | $45,247.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,245.91 / $24,669.75 / $51,977.29
| Facility | | $17,245.91 | $24,669.75 | $51,977.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,742.82 / $46,560.73
| Facility | | $5,693.00 | $22,742.82 | $46,560.73 |