- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,012.30 / $20,569.90 / $33,355.19
| Facility | | $13,012.30 | $20,569.90 | $33,355.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,855.91 / $16,835.15 / $38,471.44
| Facility | | $12,855.91 | $16,835.15 | $38,471.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,716.89 / $34,406.36
| Facility | | $100.00 | $14,716.89 | $34,406.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,286.06 / $22,454.68 / $42,485.18
| Facility | | $14,286.06 | $22,454.68 | $42,485.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,972.80 / $29,001.60 / $34,035.83
| Facility | | $19,972.80 | $29,001.60 | $34,035.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,095.65 / $18,244.63 / $39,766.62
| Facility | | $13,095.65 | $18,244.63 | $39,766.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,069.00 / $18,246.79 / $37,104.57
| Facility | | $5,069.00 | $18,246.79 | $37,104.57 |