- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,413.00 / $21,884.00 / $34,743.19
| Facility | | $12,413.00 | $21,884.00 | $34,743.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,068.00 / $24,539.50 / $56,489.82
| Facility | | $20,068.00 | $24,539.50 | $56,489.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,501.05 / $39,004.96
| Facility | | $100.00 | $19,501.05 | $39,004.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,718.75 / $26,280.94 / $47,170.44
| Facility | | $17,718.75 | $26,280.94 | $47,170.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,834.80 / $38,965.60 / $45,729.44
| Facility | | $26,834.80 | $38,965.60 | $45,729.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,412.41 / $22,723.39 / $44,244.79
| Facility | | $17,412.41 | $22,723.39 | $44,244.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $17,941.00 / $41,048.93
| Facility | | $5,717.00 | $17,941.00 | $41,048.93 |