- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,551.60 / $22,897.00 / $31,195.30
| Facility | | $14,551.60 | $22,897.00 | $31,195.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,447.20 / $20,111.91 / $46,297.53
| Facility | | $16,447.20 | $20,111.91 | $46,297.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,136.16 / $32,098.68
| Facility | | $100.00 | $18,136.16 | $32,098.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,314.10 / $24,144.00 / $42,353.40
| Facility | | $16,314.10 | $24,144.00 | $42,353.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,993.08 / $31,935.15 / $37,478.61
| Facility | | $21,993.08 | $31,935.15 | $37,478.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,366.56 / $20,423.41 / $42,722.81
| Facility | | $14,366.56 | $20,423.41 | $42,722.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,693.49 / $38,270.65
| Facility | | $5,693.00 | $18,693.49 | $38,270.65 |