- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,783.00 / $29,706.10 / $43,872.00
| Facility | | $16,783.00 | $29,706.10 | $43,872.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,879.00 / $21,566.56 / $52,870.33
| Facility | | $7,879.00 | $21,566.56 | $52,870.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,356.37 / $43,050.38
| Facility | | $100.00 | $21,356.37 | $43,050.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,043.07 / $30,924.62 / $55,427.82
| Facility | | $21,043.07 | $30,924.62 | $55,427.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,838.65 / $41,875.30 / $49,144.22
| Facility | | $28,838.65 | $41,875.30 | $49,144.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,817.59 / $27,170.44 / $57,695.68
| Facility | | $18,817.59 | $27,170.44 | $57,695.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,184.00 / $27,732.70 / $53,833.43
| Facility | | $5,184.00 | $27,732.70 | $53,833.43 |