- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,132.40 / $27,082.90 / $43,916.40
| Facility | | $17,132.40 | $27,082.90 | $43,916.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,051.64 / $24,519.47 / $56,443.72
| Facility | | $20,051.64 | $24,519.47 | $56,443.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,895.34 / $39,833.94
| Facility | | $100.00 | $20,895.34 | $39,833.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,207.45 / $28,426.00 / $49,864.89
| Facility | | $19,207.45 | $28,426.00 | $49,864.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,812.90 / $38,933.80 / $45,692.12
| Facility | | $26,812.90 | $38,933.80 | $45,692.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,402.05 / $24,045.55 / $50,299.81
| Facility | | $17,402.05 | $24,045.55 | $50,299.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,008.83 / $45,058.05
| Facility | | $5,693.00 | $22,008.83 | $45,058.05 |