- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,288.10 / $24,167.50 / $39,188.90
| Facility | | $15,288.10 | $24,167.50 | $39,188.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,078.43 / $20,078.43 / $24,064.83
| Facility | | $20,078.43 | $20,078.43 | $24,064.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,530.84 / $21,437.02 / $49,347.92
| Facility | | $17,530.84 | $21,437.02 | $49,347.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,814.53 / $38,005.62
| Facility | | $100.00 | $17,814.53 | $38,005.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,960.25 / $25,366.00 / $44,497.04
| Facility | | $16,960.25 | $25,366.00 | $44,497.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.13 / $34,039.25 / $39,947.94
| Facility | | $23,442.13 | $34,039.25 | $39,947.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,283.86 / $21,457.10 / $44,885.14
| Facility | | $15,283.86 | $21,457.10 | $44,885.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $19,639.63 / $40,207.65
| Facility | | $5,693.00 | $19,639.63 | $40,207.65 |