- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $33,884.42 / $51,286.14
| Facility | | $16,218.10 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $40,738.03 / $43,651.58
| Facility | | $12,882.50 | $40,738.03 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $33,113.11 / $52,480.75
| Facility | | $100.00 | $33,113.11 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $50,118.72
| Facility | | $19,054.61 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $43,651.58
| Facility | | $43,651.58 | $43,651.58 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $32,359.37 / $51,286.14
| Facility | | $18,197.01 | $32,359.37 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $26,302.68
| Facility | | $26,302.68 | $26,302.68 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $23,988.33 / $46,773.51
| Facility | | $5,754.40 | $23,988.33 | $46,773.51 |