- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,948.60 / $25,211.70 / $40,882.10
| Facility | | $15,948.60 | $25,211.70 | $40,882.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,570.05 / $21,563.89 / $45,835.99
| Facility | | $17,570.05 | $21,563.89 | $45,835.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,477.32 / $38,999.53
| Facility | | $100.00 | $18,477.32 | $38,999.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,191.41 / $26,462.00 / $46,419.64
| Facility | | $18,191.41 | $26,462.00 | $46,419.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,796.18 / $34,553.35 / $40,551.29
| Facility | | $23,796.18 | $34,553.35 | $40,551.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,500.86 / $22,486.08 / $46,824.51
| Facility | | $15,500.86 | $22,486.08 | $46,824.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,017.00 / $22,364.36 / $45,477.59
| Facility | | $5,017.00 | $22,364.36 | $45,477.59 |