- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,592.80 / $27,810.80 / $45,096.70
| Facility | | $17,592.80 | $27,810.80 | $45,096.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,461.07 / $21,556.19 / $49,259.89
| Facility | | $16,461.07 | $21,556.19 | $49,259.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,998.91 / $38,260.06
| Facility | | $100.00 | $18,998.91 | $38,260.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,967.36 / $31,538.93 / $53,765.06
| Facility | | $19,967.36 | $31,538.93 | $53,765.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,573.73 / $37,134.44 / $43,580.43
| Facility | | $25,573.73 | $37,134.44 | $43,580.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,619.06 / $24,667.01 / $58,292.00
| Facility | | $16,619.06 | $24,667.01 | $58,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,600.36 / $46,269.07
| Facility | | $5,693.00 | $22,600.36 | $46,269.07 |