- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,309.10 / $25,781.40 / $41,806.00
| Facility | | $16,309.10 | $25,781.40 | $41,806.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,886.12 / $18,184.24 / $41,554.36
| Facility | | $13,886.12 | $18,184.24 | $41,554.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,691.45 / $37,175.82
| Facility | | $100.00 | $16,691.45 | $37,175.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,465.18 / $27,060.00 / $48,965.70
| Facility | | $16,465.18 | $27,060.00 | $48,965.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,573.32 / $31,325.65 / $36,763.31
| Facility | | $21,573.32 | $31,325.65 | $36,763.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,253.98 / $22,726.34 / $48,965.70
| Facility | | $14,253.98 | $22,726.34 | $48,965.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,951.21 / $42,892.81
| Facility | | $5,693.00 | $20,951.21 | $42,892.81 |