- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,137.70 / $28,672.10 / $38,883.00
| Facility | | $18,137.70 | $28,672.10 | $38,883.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,487.75 / $22,900.67 / $52,332.27
| Facility | | $17,487.75 | $22,900.67 | $52,332.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,988.08 / $46,431.24
| Facility | | $100.00 | $21,988.08 | $46,431.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,487.12 / $33,760.94 / $55,430.14
| Facility | | $21,487.12 | $33,760.94 | $55,430.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,168.77 / $39,450.55 / $46,298.57
| Facility | | $27,168.77 | $39,450.55 | $46,298.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,789.28 / $26,103.54 / $55,430.14
| Facility | | $17,789.28 | $26,103.54 | $55,430.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,300.28 / $47,702.00
| Facility | | $5,693.00 | $23,300.28 | $47,702.00 |