- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,747.59 / $30,569.90 / $41,456.69
| Facility | | $19,747.59 | $30,569.90 | $41,456.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,094.34 / $25,794.51 / $59,378.86
| Facility | | $21,094.34 | $25,794.51 | $59,378.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,349.71 / $45,058.83
| Facility | | $100.00 | $20,349.71 | $45,058.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,440.43 / $31,170.10 / $56,285.26
| Facility | | $19,440.43 | $31,170.10 | $56,285.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,207.20 / $40,958.40 / $48,068.16
| Facility | | $28,207.20 | $40,958.40 | $48,068.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,275.74 / $26,947.43 / $56,776.18
| Facility | | $18,275.74 | $26,947.43 | $56,776.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,842.59 / $50,859.52
| Facility | | $5,693.00 | $24,842.59 | $50,859.52 |