- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,880.90 / $28,266.20 / $45,835.20
| Facility | | $17,880.90 | $28,266.20 | $45,835.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,361.40 / $25,354.26 / $57,939.17
| Facility | | $19,361.40 | $25,354.26 | $57,939.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $21,200.99 / $44,955.22
| Facility | | $100.00 | $21,200.99 | $44,955.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,534.52 / $33,283.05 / $54,645.49
| Facility | | $21,534.52 | $33,283.05 | $54,645.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,079.65 / $43,677.30 / $51,259.02
| Facility | | $30,079.65 | $43,677.30 | $51,259.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,453.66 / $25,096.16 / $54,645.49
| Facility | | $19,453.66 | $25,096.16 | $54,645.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $22,970.45 / $47,026.75
| Facility | | $5,693.00 | $22,970.45 | $47,026.75 |