- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,776.30 / $24,939.20 / $33,820.69
| Facility | | $15,776.30 | $24,939.20 | $33,820.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,788.29 / $19,365.65 / $44,254.11
| Facility | | $14,788.29 | $19,365.65 | $44,254.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,069.12 / $38,060.00
| Facility | | $100.00 | $18,069.12 | $38,060.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,999.84 / $29,145.73 / $48,213.57
| Facility | | $18,999.84 | $29,145.73 | $48,213.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,974.93 / $33,360.85 / $39,151.79
| Facility | | $22,974.93 | $33,360.85 | $39,151.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,160.39 / $22,705.06 / $48,213.57
| Facility | | $15,160.39 | $22,705.06 | $48,213.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,266.77 / $41,491.58
| Facility | | $5,693.00 | $20,266.77 | $41,491.58 |