- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,191.90 / $20,853.80 / $33,815.60
| Facility | | $13,191.90 | $20,853.80 | $33,815.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,428.57 / $20,428.57 / $46,470.00
| Facility | | $20,428.57 | $20,428.57 | $46,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,801.25 / $18,099.22 / $41,664.32
| Facility | | $14,801.25 | $18,099.22 | $41,664.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,989.75 / $31,910.83
| Facility | | $100.00 | $14,989.75 | $31,910.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,789.72 / $22,134.00 / $38,395.93
| Facility | | $14,789.72 | $22,134.00 | $38,395.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,792.13 / $28,739.25 / $33,727.94
| Facility | | $19,792.13 | $28,739.25 | $33,727.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,981.97 / $18,515.06 / $38,730.82
| Facility | | $12,981.97 | $18,515.06 | $38,730.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $14,603.67 / $33,413.12
| Facility | | $5,693.00 | $14,603.67 | $33,413.12 |