- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,142.00 / $27,098.10 / $43,941.10
| Facility | | $17,142.00 | $27,098.10 | $43,941.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,938.53 / $20,712.71 / $47,680.57
| Facility | | $16,938.53 | $20,712.71 | $47,680.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,493.12 / $36,373.73
| Facility | | $100.00 | $17,493.12 | $36,373.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,756.16 / $27,399.60 / $49,892.96
| Facility | | $16,756.16 | $27,399.60 | $49,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,650.08 / $32,889.15 / $38,598.21
| Facility | | $22,650.08 | $32,889.15 | $38,598.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,781.01 / $23,887.01 / $49,993.70
| Facility | | $14,781.01 | $23,887.01 | $49,993.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,021.22 / $45,083.41
| Facility | | $5,693.00 | $22,021.22 | $45,083.41 |