- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,501.70 / $29,247.50 / $47,426.50
| Facility | | $18,501.70 | $29,247.50 | $47,426.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,042.00 / $9,042.00 / $9,042.00
| Facility | | $9,042.00 | $9,042.00 | $9,042.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,984.65 / $23,551.37 / $53,819.24
| Facility | | $17,984.65 | $23,551.37 | $53,819.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,166.71 / $44,708.24
| Facility | | $100.00 | $20,166.71 | $44,708.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,480.05 / $31,927.45 / $56,542.65
| Facility | | $20,480.05 | $31,927.45 | $56,542.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,940.75 / $40,571.50 / $47,614.10
| Facility | | $27,940.75 | $40,571.50 | $47,614.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,261.02 / $25,781.72 / $56,542.65
| Facility | | $18,261.02 | $25,781.72 | $56,542.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,767.93 / $48,659.40
| Facility | | $5,693.00 | $23,767.93 | $48,659.40 |