- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,422.40 / $25,840.60 / $35,205.80
| Facility | | $16,422.40 | $25,840.60 | $35,205.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,015.75 / $23,252.78 / $53,527.79
| Facility | | $19,015.75 | $23,252.78 | $53,527.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,064.34 / $43,211.96
| Facility | | $100.00 | $19,064.34 | $43,211.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,611.20 / $26,900.59 / $47,798.44
| Facility | | $17,611.20 | $26,900.59 | $47,798.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,427.73 / $36,922.44 / $43,331.63
| Facility | | $25,427.73 | $36,922.44 | $43,331.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,527.22 / $23,025.92 / $48,215.34
| Facility | | $16,527.22 | $23,025.92 | $48,215.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,096.76 / $43,190.80
| Facility | | $5,693.00 | $21,096.76 | $43,190.80 |