- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,003.90 / $31,191.00 / $36,357.00
| Facility | | $18,003.90 | $31,191.00 | $36,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,584.08 / $24,773.35 / $43,107.28
| Facility | | $17,584.08 | $24,773.35 | $43,107.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,511.16 / $37,721.69
| Facility | | $100.00 | $17,511.16 | $37,721.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,450.00 / $33,224.00 / $45,666.23
| Facility | | $19,450.00 | $33,224.00 | $45,666.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,513.30 / $34,142.60 / $40,069.24
| Facility | | $23,513.30 | $34,142.60 | $40,069.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,510.17 / $26,392.67 / $49,294.73
| Facility | | $15,510.17 | $26,392.67 | $49,294.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,242.00 / $21,242.00 / $21,242.00
| Facility | | $21,242.00 | $21,242.00 | $21,242.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $21,569.06 / $44,157.72
| Facility | | $5,693.00 | $21,569.06 | $44,157.72 |