- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,702.80 / $23,104.00 / $29,394.10
| Facility | | $14,702.80 | $23,104.00 | $29,394.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,986.47 / $19,015.16 / $29,662.83
| Facility | | $13,986.47 | $19,015.16 | $29,662.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,153.69 / $29,675.68
| Facility | | $100.00 | $14,153.69 | $29,675.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,836.28 / $23,894.00 / $39,908.05
| Facility | | $15,836.28 | $23,894.00 | $39,908.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,702.59 / $27,157.20 / $31,871.28
| Facility | | $18,702.59 | $27,157.20 | $31,871.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,395.09 / $21,553.35 / $40,256.12
| Facility | | $12,395.09 | $21,553.35 | $40,256.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $17,614.18 / $36,061.03
| Facility | | $5,693.00 | $17,614.18 | $36,061.03 |