- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,355.30 / $19,531.40 / $31,671.20
| Facility | | $12,355.30 | $19,531.40 | $31,671.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,103.84 / $17,246.41 / $39,701.16
| Facility | | $14,103.84 | $17,246.41 | $39,701.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,811.17 / $29,127.83
| Facility | | $100.00 | $14,811.17 | $29,127.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,118.90 / $20,900.78 / $35,961.10
| Facility | | $14,118.90 | $20,900.78 | $35,961.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,859.55 / $27,385.10 / $32,138.74
| Facility | | $18,859.55 | $27,385.10 | $32,138.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.62 / $17,390.31 / $36,274.75
| Facility | | $12,397.62 | $17,390.31 | $36,274.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $15,872.13 / $32,494.55
| Facility | | $5,693.00 | $15,872.13 | $32,494.55 |