- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,850.30 / $26,637.00 / $43,193.30
| Facility | | $16,850.30 | $26,637.00 | $43,193.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,083.11 / $40,083.11 / $40,083.11
| Facility | | $40,083.11 | $40,083.11 | $40,083.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,918.35 / $20,845.50 / $47,635.83
| Facility | | $15,918.35 | $20,845.50 | $47,635.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,042.09 / $42,090.42
| Facility | | $100.00 | $19,042.09 | $42,090.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,904.77 / $29,077.72 / $51,495.84
| Facility | | $18,904.77 | $29,077.72 | $51,495.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,730.58 / $35,910.15 / $42,143.61
| Facility | | $24,730.58 | $35,910.15 | $42,143.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,088.65 / $23,480.53 / $51,495.84
| Facility | | $16,088.65 | $23,480.53 | $51,495.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,646.48 / $44,316.23
| Facility | | $5,693.00 | $21,646.48 | $44,316.23 |