- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,386.00 / $29,064.60 / $47,129.80
| Facility | | $18,386.00 | $29,064.60 | $47,129.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,517.23 / $23,646.42 / $29,495.57
| Facility | | $18,517.23 | $23,646.42 | $29,495.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,127.10 / $25,834.57 / $59,471.06
| Facility | | $21,127.10 | $25,834.57 | $59,471.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,335.44 / $45,965.20
| Facility | | $100.00 | $21,335.44 | $45,965.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,755.02 / $30,506.00 / $53,513.63
| Facility | | $20,755.02 | $30,506.00 | $53,513.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,251.00 / $41,022.00 / $48,142.80
| Facility | | $28,251.00 | $41,022.00 | $48,142.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,303.28 / $25,754.74 / $53,980.37
| Facility | | $18,303.28 | $25,754.74 | $53,980.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,619.27 / $48,355.06
| Facility | | $5,693.00 | $23,619.27 | $48,355.06 |