- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,991.80 / $20,537.50 / $33,302.69
| Facility | | $12,991.80 | $20,537.50 | $33,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,672.56 / $16,719.04 / $38,487.15
| Facility | | $13,672.56 | $16,719.04 | $38,487.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $13,734.48 / $27,329.75
| Facility | | $100.00 | $13,734.48 | $27,329.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,422.29 / $21,281.16 / $37,813.54
| Facility | | $13,422.29 | $21,281.16 | $37,813.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,282.84 / $26,547.70 / $31,155.98
| Facility | | $18,282.84 | $26,547.70 | $31,155.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,033.70 / $18,103.81 / $38,143.33
| Facility | | $12,033.70 | $18,103.81 | $38,143.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $16,689.73 / $34,168.42
| Facility | | $5,693.00 | $16,689.73 | $34,168.42 |