- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,802.00 / $26,257.90 / $35,774.30
| Facility | | $8,802.00 | $26,257.90 | $35,774.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,736.79 / $23,226.79 / $53,077.51
| Facility | | $17,736.79 | $23,226.79 | $53,077.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,295.68 / $40,894.42
| Facility | | $100.00 | $22,295.68 | $40,894.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,097.33 / $31,358.60 / $50,998.53
| Facility | | $20,097.33 | $31,358.60 | $50,998.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $48,537.00 / $48,537.00
| Facility | | $48,537.00 | $48,537.00 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,022.31 / $24,635.33 / $50,998.53
| Facility | | $18,022.31 | $24,635.33 | $50,998.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,437.43 / $43,888.25
| Facility | | $5,693.00 | $21,437.43 | $43,888.25 |