- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,874.90 / $28,256.70 / $45,819.70
| Facility | | $17,874.90 | $28,256.70 | $45,819.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,054.37 / $24,522.81 / $56,451.40
| Facility | | $20,054.37 | $24,522.81 | $56,451.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,595.14 / $39,770.73
| Facility | | $100.00 | $20,595.14 | $39,770.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,601.11 / $29,517.99 / $52,026.06
| Facility | | $19,601.11 | $29,517.99 | $52,026.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,816.55 / $38,939.10 / $45,698.34
| Facility | | $26,816.55 | $38,939.10 | $45,698.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,400.91 / $25,062.49 / $52,479.83
| Facility | | $17,400.91 | $25,062.49 | $52,479.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,962.71 / $47,010.90
| Facility | | $5,693.00 | $22,962.71 | $47,010.90 |