- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,240.09 / $28,834.00 / $46,756.00
| Facility | | $18,240.09 | $28,834.00 | $46,756.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,977.37 / $26,874.29 / $61,864.50
| Facility | | $21,977.37 | $26,874.29 | $61,864.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,753.03 / $47,742.94
| Facility | | $100.00 | $21,753.03 | $47,742.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,449.38 / $30,264.00 / $53,089.11
| Facility | | $20,449.38 | $30,264.00 | $53,089.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,387.98 / $42,672.95 / $50,080.33
| Facility | | $29,387.98 | $42,672.95 | $50,080.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,017.40 / $25,574.59 / $53,552.15
| Facility | | $19,017.40 | $25,574.59 | $53,552.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,431.90 / $47,971.47
| Facility | | $5,693.00 | $23,431.90 | $47,971.47 |