- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,557.40 / $26,173.90 / $42,442.50
| Facility | | $16,557.40 | $26,173.90 | $42,442.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,526.71 / $19,526.71 / $19,526.71
| Facility | | $19,526.71 | $19,526.71 | $19,526.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,231.39 / $23,516.46 / $54,134.80
| Facility | | $19,231.39 | $23,516.46 | $54,134.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,833.08 / $38,226.08
| Facility | | $100.00 | $20,833.08 | $38,226.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,911.53 / $27,472.00 / $48,191.38
| Facility | | $18,911.53 | $27,472.00 | $48,191.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,716.08 / $37,341.15 / $43,823.01
| Facility | | $25,716.08 | $37,341.15 | $43,823.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,709.75 / $23,344.33 / $48,611.70
| Facility | | $16,709.75 | $23,344.33 | $48,611.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,270.20 / $43,545.87
| Facility | | $5,693.00 | $21,270.20 | $43,545.87 |