- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,927.40 / $26,758.90 / $43,391.10
| Facility | | $16,927.40 | $26,758.90 | $43,391.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,201.37 / $23,479.75 / $54,050.28
| Facility | | $19,201.37 | $23,479.75 | $54,050.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,072.71 / $38,167.23
| Facility | | $100.00 | $19,072.71 | $38,167.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,406.34 / $27,727.90 / $49,268.46
| Facility | | $18,406.34 | $27,727.90 | $49,268.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,675.93 / $37,282.85 / $43,754.59
| Facility | | $25,675.93 | $37,282.85 | $43,754.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,683.37 / $23,588.03 / $49,698.18
| Facility | | $16,683.37 | $23,588.03 | $49,698.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,745.59 / $44,519.12
| Facility | | $5,693.00 | $21,745.59 | $44,519.12 |