- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,060.50 / $28,550.10 / $46,295.60
| Facility | | $18,060.50 | $28,550.10 | $46,295.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,143.08 / $24,631.29 / $56,701.12
| Facility | | $20,143.08 | $24,631.29 | $56,701.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,683.43 / $43,907.71
| Facility | | $100.00 | $20,683.43 | $43,907.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,134.18 / $29,583.93 / $52,566.36
| Facility | | $19,134.18 | $29,583.93 | $52,566.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,935.18 / $39,111.35 / $45,900.49
| Facility | | $26,935.18 | $39,111.35 | $45,900.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,476.68 / $25,166.95 / $53,024.84
| Facility | | $17,476.68 | $25,166.95 | $53,024.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,017.00 / $25,325.76 / $51,499.57
| Facility | | $5,017.00 | $25,325.76 | $51,499.57 |