- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,801.30 / $28,140.40 / $45,631.30
| Facility | | $17,801.30 | $28,140.40 | $45,631.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,061.18 / $24,531.16 / $56,470.61
| Facility | | $20,061.18 | $24,531.16 | $56,470.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,686.41 / $41,504.51
| Facility | | $100.00 | $20,686.41 | $41,504.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,968.13 / $29,536.00 / $51,812.05
| Facility | | $19,968.13 | $29,536.00 | $51,812.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,825.68 / $38,952.35 / $45,713.89
| Facility | | $26,825.68 | $38,952.35 | $45,713.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,408.95 / $24,984.50 / $52,263.95
| Facility | | $17,408.95 | $24,984.50 | $52,263.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,868.25 / $46,817.51
| Facility | | $5,693.00 | $22,868.25 | $46,817.51 |