- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,634.30 / $21,553.10 / $34,949.60
| Facility | | $13,634.30 | $21,553.10 | $34,949.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,573.00 / $16,163.32 / $17,474.83
| Facility | | $13,573.00 | $16,163.32 | $17,474.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,390.84 / $18,820.18 / $43,323.97
| Facility | | $15,390.84 | $18,820.18 | $43,323.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,221.34 / $35,425.96
| Facility | | $100.00 | $16,221.34 | $35,425.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,459.24 / $22,622.00 / $39,683.51
| Facility | | $15,459.24 | $22,622.00 | $39,683.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,580.52 / $29,884.05 / $35,071.47
| Facility | | $20,580.52 | $29,884.05 | $35,071.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,477.94 / $19,135.95 / $40,029.62
| Facility | | $13,477.94 | $19,135.95 | $40,029.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $16,163.00 / $34,533.61
| Facility | | $5,693.00 | $16,163.00 | $34,533.61 |