- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,049.90 / $25,371.70 / $41,141.69
| Facility | | $16,049.90 | $25,371.70 | $41,141.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,864.25 / $23,067.53 / $53,101.35
| Facility | | $18,864.25 | $23,067.53 | $53,101.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,307.77 / $48,358.00
| Facility | | $100.00 | $18,307.77 | $48,358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,736.16 / $26,630.00 / $46,714.35
| Facility | | $17,736.16 | $26,630.00 | $46,714.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,225.15 / $36,628.30 / $42,986.42
| Facility | | $25,225.15 | $36,628.30 | $42,986.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,399.79 / $22,503.68 / $47,121.79
| Facility | | $16,399.79 | $22,503.68 | $47,121.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,618.28 / $42,211.21
| Facility | | $5,693.00 | $20,618.28 | $42,211.21 |