- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $25,118.86 / $47,863.01
| Facility | | $14,125.38 | $25,118.86 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $26,915.35 / $45,708.82
| Facility | | $10,232.93 | $26,915.35 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,378.01 / $38,904.51
| Facility | | $100.00 | $17,378.01 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $22,387.21 / $38,904.51
| Facility | | $15,135.61 | $22,387.21 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $51,286.14
| Facility | | $51,286.14 | $51,286.14 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $24,547.09 / $44,668.36
| Facility | | $15,135.61 | $24,547.09 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $21,379.62 / $42,657.95
| Facility | | $5,754.40 | $21,379.62 | $42,657.95 |