- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,526.00 / $32,738.50 / $57,652.60
| Facility | | $20,526.00 | $32,738.50 | $57,652.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,805.41 / $16,805.41 / $16,805.41
| Facility | | $16,805.41 | $16,805.41 | $16,805.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,566.84 / $28,220.40 / $41,044.57
| Facility | | $13,566.84 | $28,220.40 | $41,044.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,979.61 / $25,455.94 / $42,644.65
| Facility | | $18,979.61 | $25,455.94 | $42,644.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,782.03 / $24,532.70 / $36,845.10
| Facility | | $16,782.03 | $24,532.70 | $36,845.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,968.06 / $24,961.00 / $38,411.99
| Facility | | $10,968.06 | $24,961.00 | $38,411.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,448.25 / $27,187.18 / $36,962.44
| Facility | | $19,448.25 | $27,187.18 | $36,962.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,506.18 / $56,029.51
| Facility | | $3,775.00 | $20,506.18 | $56,029.51 |