- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,897.09 / $29,734.60 / $40,510.90
| Facility | | $18,897.09 | $29,734.60 | $40,510.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,811.83 / $25,449.05 / $58,583.60
| Facility | | $20,811.83 | $25,449.05 | $58,583.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,627.65 / $39,906.12
| Facility | | $100.00 | $20,627.65 | $39,906.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,041.93 / $30,954.24 / $55,001.19
| Facility | | $20,041.93 | $30,954.24 | $55,001.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,829.43 / $40,409.85 / $47,424.39
| Facility | | $27,829.43 | $40,409.85 | $47,424.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,038.08 / $26,495.70 / $55,480.90
| Facility | | $18,038.08 | $26,495.70 | $55,480.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $24,275.83 / $49,699.23
| Facility | | $5,693.00 | $24,275.83 | $49,699.23 |