- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $26,302.68 / $50,118.72
| Facility | | $15,488.17 | $26,302.68 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $28,183.83 / $42,657.95
| Facility | | $16,595.87 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $22,908.68 / $38,018.94
| Facility | | $100.00 | $22,908.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $23,988.33 / $41,686.94
| Facility | | $15,848.93 | $23,988.33 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $41,686.94 / $41,686.94
| Facility | | $41,686.94 | $41,686.94 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,118.86 / $44,668.36
| Facility | | $16,595.87 | $25,118.86 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $16,218.10 / $16,218.10
| Facility | | $16,218.10 | $16,218.10 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $23,442.29 / $45,708.82
| Facility | | $5,754.40 | $23,442.29 | $45,708.82 |