- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,933.00 / $25,070.60 / $34,156.60
| Facility | | $15,933.00 | $25,070.60 | $34,156.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,378.39 / $22,473.40 / $51,733.67
| Facility | | $18,378.39 | $22,473.40 | $51,733.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,926.59 / $35,943.18
| Facility | | $100.00 | $18,926.59 | $35,943.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,862.81 / $26,436.00 / $46,374.03
| Facility | | $17,862.81 | $26,436.00 | $46,374.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,575.45 / $35,684.90 / $41,879.26
| Facility | | $24,575.45 | $35,684.90 | $41,879.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,991.08 / $22,339.74 / $46,778.50
| Facility | | $15,991.08 | $22,339.74 | $46,778.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,468.07 / $41,903.69
| Facility | | $5,693.00 | $20,468.07 | $41,903.69 |