- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,084.59 / $28,588.20 / $46,357.40
| Facility | | $18,084.59 | $28,588.20 | $46,357.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,158.50 / $23,779.04 / $54,339.50
| Facility | | $18,158.50 | $23,779.04 | $54,339.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,903.06 / $45,057.18
| Facility | | $100.00 | $20,903.06 | $45,057.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,142.39 / $31,207.74 / $55,268.05
| Facility | | $20,142.39 | $31,207.74 | $55,268.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,210.85 / $40,963.69 / $48,074.38
| Facility | | $28,210.85 | $40,963.69 | $48,074.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,278.04 / $25,200.54 / $55,268.05
| Facility | | $18,278.04 | $25,200.54 | $55,268.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,232.15 / $47,562.51
| Facility | | $5,693.00 | $23,232.15 | $47,562.51 |