- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,453.20 / $24,315.70 / $33,128.19
| Facility | | $15,453.20 | $24,315.70 | $33,128.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,150.47 / $22,194.70 / $51,092.09
| Facility | | $18,150.47 | $22,194.70 | $51,092.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,578.46 / $37,782.24
| Facility | | $100.00 | $17,578.46 | $37,782.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,851.75 / $25,377.66 / $44,977.69
| Facility | | $16,851.75 | $25,377.66 | $44,977.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,270.68 / $41,000.00 / $41,359.89
| Facility | | $24,270.68 | $41,000.00 | $41,359.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,800.51 / $21,688.88 / $45,369.98
| Facility | | $15,800.51 | $21,688.88 | $45,369.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $19,851.77 / $40,641.96
| Facility | | $5,693.00 | $19,851.77 | $40,641.96 |