- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,580.50 / $23,048.90 / $37,375.10
| Facility | | $14,580.50 | $23,048.90 | $37,375.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,436.11 / $19,436.11 / $42,415.29
| Facility | | $19,436.11 | $19,436.11 | $42,415.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,769.29 / $20,505.77 / $47,204.19
| Facility | | $16,769.29 | $20,505.77 | $47,204.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,493.40 / $40,039.00
| Facility | | $100.00 | $16,493.40 | $40,039.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,346.53 / $24,192.00 / $42,437.61
| Facility | | $16,346.53 | $24,192.00 | $42,437.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,423.77 / $32,560.55 / $38,212.57
| Facility | | $22,423.77 | $32,560.55 | $38,212.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,638.64 / $20,464.00 / $42,807.74
| Facility | | $14,638.64 | $20,464.00 | $42,807.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,730.66 / $38,346.74
| Facility | | $5,693.00 | $18,730.66 | $38,346.74 |