- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,994.70 / $30,026.90 / $40,720.19
| Facility | | $18,994.70 | $30,026.90 | $40,720.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,436.50 / $24,990.10 / $57,527.11
| Facility | | $20,436.50 | $24,990.10 | $57,527.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,588.07 / $46,745.31
| Facility | | $100.00 | $20,588.07 | $46,745.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,494.64 / $31,114.17 / $55,285.37
| Facility | | $19,494.64 | $31,114.17 | $55,285.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,327.55 / $39,681.10 / $46,569.14
| Facility | | $27,327.55 | $39,681.10 | $46,569.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,723.53 / $26,468.71 / $55,767.56
| Facility | | $17,723.53 | $26,468.71 | $55,767.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,401.26 / $49,956.01
| Facility | | $5,693.00 | $24,401.26 | $49,956.01 |