- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,474.00 / $29,203.70 / $47,355.40
| Facility | | $18,474.00 | $29,203.70 | $47,355.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,621.66 / $23,076.03 / $52,733.01
| Facility | | $17,621.66 | $23,076.03 | $52,733.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $20,375.00 / $45,219.27
| Facility | | $100.00 | $20,375.00 | $45,219.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,510.24 / $30,652.00 / $53,769.74
| Facility | | $20,510.24 | $30,652.00 | $53,769.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,376.83 / $39,752.65 / $46,653.11
| Facility | | $27,376.83 | $39,752.65 | $46,653.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,755.66 / $25,743.08 / $54,238.71
| Facility | | $17,755.66 | $25,743.08 | $54,238.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $25,065.67 / $48,977.30
| Facility | | $5,717.00 | $25,065.67 | $48,977.30 |