- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,723.00 / $30,390.80 / $41,405.00
| Facility | | $19,723.00 | $30,390.80 | $41,405.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,176.38 / $11,176.38 / $29,727.01
| Facility | | $11,176.38 | $11,176.38 | $29,727.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,443.00 / $24,512.81 / $56,016.30
| Facility | | $14,443.00 | $24,512.81 | $56,016.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,506.23 / $43,237.38
| Facility | | $100.00 | $19,506.23 | $43,237.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,629.48 / $32,572.58 / $58,292.00
| Facility | | $21,629.48 | $32,572.58 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,081.38 / $42,227.75 / $49,557.85
| Facility | | $29,081.38 | $42,227.75 | $49,557.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,776.00 / $26,913.83 / $58,292.00
| Facility | | $18,776.00 | $26,913.83 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $24,811.62 / $48,919.82
| Facility | | $5,760.00 | $24,811.62 | $48,919.82 |