- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,083.59 / $34,154.10 / $43,002.00
| Facility | | $17,083.59 | $34,154.10 | $43,002.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,288.32 / $25,708.00 / $38,786.30
| Facility | | $18,288.32 | $25,708.00 | $38,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,830.49 / $40,029.67
| Facility | | $100.00 | $19,830.49 | $40,029.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,580.09 / $33,526.24 / $46,370.52
| Facility | | $19,580.09 | $33,526.24 | $46,370.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,455.00 / $35,510.00 / $41,674.00
| Facility | | $24,455.00 | $35,510.00 | $41,674.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,118.80 / $25,043.57 / $46,774.96
| Facility | | $16,118.80 | $25,043.57 | $46,774.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $22,285.18 / $40,352.82
| Facility | | $5,760.00 | $22,285.18 | $40,352.82 |