- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,729.10 / $22,801.20 / $31,753.80
| Facility | | $14,729.10 | $22,801.20 | $31,753.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,876.71 / $19,414.31 / $44,691.65
| Facility | | $15,876.71 | $19,414.31 | $44,691.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $15,862.66 / $31,093.96
| Facility | | $100.00 | $15,862.66 | $31,093.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,191.90 / $23,932.00 / $42,347.67
| Facility | | $15,191.90 | $23,932.00 | $42,347.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,230.23 / $30,827.45 / $36,178.62
| Facility | | $21,230.23 | $30,827.45 | $36,178.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,886.66 / $20,223.74 / $44,080.35
| Facility | | $13,886.66 | $20,223.74 | $44,080.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,529.34 / $37,934.61
| Facility | | $5,693.00 | $18,529.34 | $37,934.61 |