- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,060.50 / $20,646.09 / $33,478.80
| Facility | | $13,060.50 | $20,646.09 | $33,478.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,864.03 / $18,175.98 / $41,841.04
| Facility | | $14,864.03 | $18,175.98 | $41,841.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $15,226.02 / $29,679.07
| Facility | | $100.00 | $15,226.02 | $29,679.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,786.32 / $22,093.65 / $38,013.51
| Facility | | $14,786.32 | $22,093.65 | $38,013.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,876.08 / $28,861.15 / $33,871.01
| Facility | | $19,876.08 | $28,861.15 | $33,871.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,035.92 / $18,330.65 / $38,345.07
| Facility | | $13,035.92 | $18,330.65 | $38,345.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $16,778.00 / $34,349.12
| Facility | | $5,693.00 | $16,778.00 | $34,349.12 |