- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,345.20 / $25,838.60 / $41,898.69
| Facility | | $16,345.20 | $25,838.60 | $41,898.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,987.48 / $17,007.43 / $38,865.15
| Facility | | $12,987.48 | $17,007.43 | $38,865.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,429.45 / $35,077.68
| Facility | | $100.00 | $16,429.45 | $35,077.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,779.34 / $28,206.16 / $49,952.33
| Facility | | $18,779.34 | $28,206.16 | $49,952.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,177.20 / $29,298.40 / $34,384.16
| Facility | | $20,177.20 | $29,298.40 | $34,384.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,348.75 / $22,917.76 / $49,952.33
| Facility | | $13,348.75 | $22,917.76 | $49,952.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,997.66 / $42,987.91
| Facility | | $5,693.00 | $20,997.66 | $42,987.91 |