- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,817.50 / $21,842.70 / $35,419.19
| Facility | | $13,817.50 | $21,842.70 | $35,419.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,591.47 / $19,065.50 / $43,888.72
| Facility | | $15,591.47 | $19,065.50 | $43,888.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $15,587.25 / $34,390.98
| Facility | | $100.00 | $15,587.25 | $34,390.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,491.10 / $23,844.19 / $42,615.00
| Facility | | $15,491.10 | $23,844.19 | $42,615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,848.80 / $30,273.60 / $35,528.64
| Facility | | $20,848.80 | $30,273.60 | $35,528.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,784.83 / $19,450.00 / $42,227.40
| Facility | | $13,784.83 | $19,450.00 | $42,227.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $17,750.46 / $36,340.00
| Facility | | $5,693.00 | $17,750.46 | $36,340.00 |