- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,843.80 / $25,045.90 / $40,613.30
| Facility | | $15,843.80 | $25,045.90 | $40,613.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,518.12 / $27,595.27 / $36,743.87
| Facility | | $24,518.12 | $27,595.27 | $36,743.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,983.96 / $21,991.09 / $50,623.39
| Facility | | $17,983.96 | $21,991.09 | $50,623.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,215.74 / $47,136.00
| Facility | | $100.00 | $19,215.74 | $47,136.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,762.80 / $25,692.58 / $46,114.41
| Facility | | $17,762.80 | $25,692.58 | $46,114.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,980.47 / $40,980.47 / $40,980.47
| Facility | | $40,980.47 | $40,980.47 | $40,980.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,661.56 / $22,214.67 / $46,516.62
| Facility | | $15,661.56 | $22,214.67 | $46,516.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,353.48 / $41,669.11
| Facility | | $5,693.00 | $20,353.48 | $41,669.11 |