- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,346.80 / $22,836.30 / $31,753.80
| Facility | | $13,346.80 | $22,836.30 | $31,753.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,095.18 / $12,095.18 / $12,095.18
| Facility | | $12,095.18 | $12,095.18 | $12,095.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,458.12 / $20,125.25 / $46,328.26
| Facility | | $16,458.12 | $20,125.25 | $46,328.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,401.89 / $43,934.00
| Facility | | $100.00 | $16,401.89 | $43,934.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,310.68 / $24,550.76 / $42,609.56
| Facility | | $16,310.68 | $24,550.76 | $42,609.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,007.68 / $31,956.35 / $37,503.49
| Facility | | $22,007.68 | $31,956.35 | $37,503.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,378.04 / $20,461.98 / $44,352.95
| Facility | | $14,378.04 | $20,461.98 | $44,352.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,643.93 / $38,169.21
| Facility | | $5,693.00 | $18,643.93 | $38,169.21 |