- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,179.40 / $19,253.20 / $31,220.10
| Facility | | $12,179.40 | $19,253.20 | $31,220.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,356.33 / $17,555.15 / $40,411.89
| Facility | | $14,356.33 | $17,555.15 | $40,411.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,982.83 / $31,808.50
| Facility | | $100.00 | $14,982.83 | $31,808.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,667.98 / $20,603.07 / $35,758.06
| Facility | | $14,667.98 | $20,603.07 | $35,758.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,197.18 / $27,875.35 / $32,714.09
| Facility | | $19,197.18 | $27,875.35 | $32,714.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,607.70 / $17,093.95 / $37,221.12
| Facility | | $12,607.70 | $17,093.95 | $37,221.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $15,646.04 / $32,031.70
| Facility | | $5,693.00 | $15,646.04 | $32,031.70 |