- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.09 / $30,425.00 / $44,132.00
| Facility | | $17,782.09 | $30,425.00 | $44,132.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,606.89 / $25,606.89 / $25,606.89
| Facility | | $25,606.89 | $25,606.89 | $25,606.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,117.86 / $27,145.47 / $57,700.13
| Facility | | $22,117.86 | $27,145.47 | $57,700.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,947.04 / $67,231.00
| Facility | | $100.00 | $21,947.04 | $67,231.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,270.71 / $31,355.34 / $56,278.24
| Facility | | $19,270.71 | $31,355.34 | $56,278.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,537.00 / $48,537.00 / $51,047.54
| Facility | | $48,537.00 | $48,537.00 | $51,047.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,823.09 / $27,110.89 / $53,320.64
| Facility | | $18,823.09 | $27,110.89 | $53,320.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $26,507.75 / $48,187.16
| Facility | | $5,760.00 | $26,507.75 | $48,187.16 |