- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,513.00 / $22,942.20 / $37,202.10
| Facility | | $14,513.00 | $22,942.20 | $37,202.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,435.04 / $17,593.53 / $40,204.48
| Facility | | $13,435.04 | $17,593.53 | $40,204.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,583.82 / $35,915.83
| Facility | | $100.00 | $16,583.82 | $35,915.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,364.00 / $26,149.06 / $44,352.95
| Facility | | $17,364.00 | $26,149.06 | $44,352.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,872.52 / $30,308.05 / $35,569.07
| Facility | | $20,872.52 | $30,308.05 | $35,569.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,661.65 / $20,369.27 / $44,352.95
| Facility | | $13,661.65 | $20,369.27 | $44,352.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,643.93 / $38,169.21
| Facility | | $5,693.00 | $18,643.93 | $38,169.21 |