- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $24,547.09 / $46,773.51
| Facility | | $13,803.84 | $24,547.09 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $14,125.38 / $20,417.38
| Facility | | $14,125.38 | $14,125.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,915.35 / $44,668.36
| Facility | | $15,135.61 | $26,915.35 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $27,542.29 / $44,668.36
| Facility | | $100.00 | $27,542.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,877.62 / $42,657.95
| Facility | | $14,454.40 | $21,877.62 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $24,547.09 / $44,668.36
| Facility | | $14,791.08 | $24,547.09 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $19,952.62 / $42,657.95
| Facility | | $5,754.40 | $19,952.62 | $42,657.95 |