- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,340.60 / $22,669.70 / $36,760.19
| Facility | | $14,340.60 | $22,669.70 | $36,760.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,726.19 / $18,007.43 / $41,453.01
| Facility | | $14,726.19 | $18,007.43 | $41,453.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $15,691.05 / $32,581.85
| Facility | | $100.00 | $15,691.05 | $32,581.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,007.22 / $23,490.63 / $41,739.43
| Facility | | $15,007.22 | $23,490.63 | $41,739.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,691.75 / $28,593.50 / $33,556.90
| Facility | | $19,691.75 | $28,593.50 | $33,556.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,918.84 / $20,127.34 / $42,103.48
| Facility | | $12,918.84 | $20,127.34 | $42,103.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $18,422.50 / $37,715.87
| Facility | | $5,693.00 | $18,422.50 | $37,715.87 |