- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,712.40 / $28,108.50 / $39,283.50
| Facility | | $18,712.40 | $28,108.50 | $39,283.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,942.36 / $23,495.99 / $53,692.69
| Facility | | $17,942.36 | $23,495.99 | $53,692.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,660.59 / $44,532.80
| Facility | | $100.00 | $20,660.59 | $44,532.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,995.50 / $30,998.40 / $53,799.88
| Facility | | $20,995.50 | $30,998.40 | $53,799.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,875.05 / $40,476.10 / $47,502.14
| Facility | | $27,875.05 | $40,476.10 | $47,502.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,220.30 / $25,534.80 / $53,799.88
| Facility | | $18,220.30 | $25,534.80 | $53,799.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,540.30 / $48,193.38
| Facility | | $5,693.00 | $23,540.30 | $48,193.38 |