- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,376.30 / $29,049.30 / $47,105.10
| Facility | | $18,376.30 | $29,049.30 | $47,105.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,673.36 / $23,143.72 / $52,887.68
| Facility | | $17,673.36 | $23,143.72 | $52,887.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,014.10 / $46,962.71
| Facility | | $100.00 | $21,014.10 | $46,962.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,098.29 / $31,711.12 / $56,159.53
| Facility | | $20,098.29 | $31,711.12 | $56,159.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,789.95 / $46,789.95 / $46,789.95
| Facility | | $46,789.95 | $46,789.95 | $46,789.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,964.62 / $25,607.03 / $56,159.53
| Facility | | $17,964.62 | $25,607.03 | $56,159.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,606.88 / $48,329.70
| Facility | | $5,693.00 | $23,606.88 | $48,329.70 |