- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,470.59 / $26,036.80 / $42,220.00
| Facility | | $16,470.59 | $26,036.80 | $42,220.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,904.26 / $20,827.04 / $47,593.64
| Facility | | $15,904.26 | $20,827.04 | $47,593.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,025.78 / $42,351.74
| Facility | | $100.00 | $19,025.78 | $42,351.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,344.28 / $28,422.49 / $50,335.44
| Facility | | $18,344.28 | $28,422.49 | $50,335.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,708.68 / $35,878.35 / $42,106.29
| Facility | | $24,708.68 | $35,878.35 | $42,106.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,074.89 / $22,951.42 / $50,335.44
| Facility | | $16,074.89 | $22,951.42 | $50,335.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,158.70 / $43,317.61
| Facility | | $5,693.00 | $21,158.70 | $43,317.61 |