- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,013.30 / $23,281.10 / $51,916.20
| Facility | | $13,013.30 | $23,281.10 | $51,916.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,073.56 / $16,868.00 / $36,130.25
| Facility | | $12,073.56 | $16,868.00 | $36,130.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,051.00 / $28,025.36
| Facility | | $100.00 | $14,051.00 | $28,025.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,949.19 / $22,124.00 / $49,622.00
| Facility | | $14,949.19 | $22,124.00 | $49,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,757.34 / $27,236.70 / $31,964.58
| Facility | | $18,757.34 | $27,236.70 | $31,964.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,429.38 / $18,799.87 / $49,420.59
| Facility | | $12,429.38 | $18,799.87 | $49,420.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $18,091.90 / $35,068.75
| Facility | | $5,760.00 | $18,091.90 | $35,068.75 |