- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,035.10 / $24,822.90 / $40,251.80
| Facility | | $16,035.10 | $24,822.90 | $40,251.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,900.71 / $21,889.29 / $50,389.04
| Facility | | $17,900.71 | $21,889.29 | $50,389.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,816.90 / $36,639.91
| Facility | | $100.00 | $17,816.90 | $36,639.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,998.71 / $25,721.81 / $45,703.93
| Facility | | $16,998.71 | $25,721.81 | $45,703.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,936.70 / $34,757.40 / $40,790.76
| Facility | | $23,936.70 | $34,757.40 | $40,790.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,590.41 / $22,039.08 / $46,102.55
| Facility | | $15,590.41 | $22,039.08 | $46,102.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $21,305.66 / $39,772.73
| Facility | | $5,717.00 | $21,305.66 | $39,772.73 |