- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,368.80 / $32,199.10 / $52,212.70
| Facility | | $20,368.80 | $32,199.10 | $52,212.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,322.45 / $21,374.67 / $48,845.09
| Facility | | $16,322.45 | $21,374.67 | $48,845.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,668.18 / $39,398.26
| Facility | | $100.00 | $20,668.18 | $39,398.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.36 / $33,445.85 / $59,336.16
| Facility | | $19,952.36 | $33,445.85 | $59,336.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,358.38 / $36,821.75 / $43,213.45
| Facility | | $25,358.38 | $36,821.75 | $43,213.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,484.75 / $28,383.57 / $59,336.16
| Facility | | $16,484.75 | $28,383.57 | $59,336.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,069.00 / $28,562.69 / $58,081.81
| Facility | | $5,069.00 | $28,562.69 | $58,081.81 |