- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,433.20 / $25,977.70 / $42,124.30
| Facility | | $16,433.20 | $25,977.70 | $42,124.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,095.73 / $21,077.78 / $48,166.64
| Facility | | $16,095.73 | $21,077.78 | $48,166.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,589.07 / $40,052.85
| Facility | | $100.00 | $18,589.07 | $40,052.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,670.59 / $27,266.00 / $48,247.19
| Facility | | $18,670.59 | $27,266.00 | $48,247.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,006.15 / $36,310.30 / $42,613.22
| Facility | | $25,006.15 | $36,310.30 | $42,613.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,476.84 / $23,059.55 / $48,247.19
| Facility | | $16,476.84 | $23,059.55 | $48,247.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,110.70 / $43,219.34
| Facility | | $5,693.00 | $21,110.70 | $43,219.34 |