- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,158.20 / $26,847.30 / $118,369.00
| Facility | | $16,158.20 | $26,847.30 | $118,369.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,614.51 / $22,614.51 / $22,614.51
| Facility | | $22,614.51 | $22,614.51 | $22,614.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,898.72 / $21,166.65 / $49,642.53
| Facility | | $14,898.72 | $21,166.65 | $49,642.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,603.59 / $42,538.78
| Facility | | $100.00 | $18,603.59 | $42,538.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,174.32 / $27,305.47 / $48,357.24
| Facility | | $18,174.32 | $27,305.47 | $48,357.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,146.48 / $33,609.94 / $39,444.12
| Facility | | $23,146.48 | $33,609.94 | $39,444.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,271.46 / $22,208.26 / $54,224.94
| Facility | | $15,271.46 | $22,208.26 | $54,224.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,327.16 / $41,615.22
| Facility | | $5,693.00 | $20,327.16 | $41,615.22 |