- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,141.30 / $28,677.80 / $46,502.60
| Facility | | $18,141.30 | $28,677.80 | $46,502.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,186.00 / $22,497.63 / $51,411.26
| Facility | | $16,186.00 | $22,497.63 | $51,411.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $19,805.36 / $45,676.81
| Facility | | $100.00 | $19,805.36 | $45,676.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,450.00 / $30,688.46 / $55,441.19
| Facility | | $19,450.00 | $30,688.46 | $55,441.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,690.63 / $38,756.25 / $45,483.75
| Facility | | $26,690.63 | $38,756.25 | $45,483.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,321.70 / $25,436.01 / $56,696.26
| Facility | | $17,321.70 | $25,436.01 | $56,696.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $23,304.93 / $47,711.51
| Facility | | $5,693.00 | $23,304.93 | $47,711.51 |