- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,301.30 / $24,188.40 / $39,222.90
| Facility | | $15,301.30 | $24,188.40 | $39,222.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,554.05 / $21,465.39 / $49,413.23
| Facility | | $17,554.05 | $21,465.39 | $49,413.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $17,482.16 / $40,278.90
| Facility | | $100.00 | $17,482.16 | $40,278.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,442.52 / $25,064.30 / $44,535.63
| Facility | | $16,442.52 | $25,064.30 | $44,535.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,473.15 / $34,084.30 / $40,000.82
| Facility | | $23,473.15 | $34,084.30 | $40,000.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,297.64 / $21,475.71 / $44,924.07
| Facility | | $15,297.64 | $21,475.71 | $44,924.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $19,656.66 / $40,242.51
| Facility | | $5,693.00 | $19,656.66 | $40,242.51 |