- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,013.40 / $38,012.10 / $54,964.00
| Facility | | $19,013.40 | $38,012.10 | $54,964.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,370.59 / $31,089.00 / $49,293.00
| Facility | | $19,370.59 | $31,089.00 | $49,293.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,424.88 / $40,273.00
| Facility | | $100.00 | $17,424.88 | $40,273.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,479.25 / $37,313.39 / $50,267.00
| Facility | | $20,479.25 | $37,313.39 | $50,267.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,902.23 / $37,611.44 / $44,140.23
| Facility | | $25,902.23 | $37,611.44 | $44,140.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,825.74 / $27,872.51 / $52,058.69
| Facility | | $16,825.74 | $27,872.51 | $52,058.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,778.44 / $46,633.64
| Facility | | $5,693.00 | $22,778.44 | $46,633.64 |