- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,174.50 / $27,024.20 / $36,818.30
| Facility | | $17,174.50 | $27,024.20 | $36,818.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,973.84 / $24,424.35 / $56,224.74
| Facility | | $19,973.84 | $24,424.35 | $56,224.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,479.36 / $41,410.33
| Facility | | $100.00 | $20,479.36 | $41,410.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,499.72 / $28,132.68 / $49,987.68
| Facility | | $18,499.72 | $28,132.68 | $49,987.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,708.88 / $38,782.75 / $45,514.85
| Facility | | $26,708.88 | $38,782.75 | $45,514.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,336.63 / $24,080.54 / $50,423.67
| Facility | | $17,336.63 | $24,080.54 | $50,423.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,063.03 / $45,169.01
| Facility | | $5,693.00 | $22,063.03 | $45,169.01 |