- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,642.50 / $24,727.70 / $40,097.30
| Facility | | $15,642.50 | $24,727.70 | $40,097.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,679.05 / $24,063.86 / $55,394.91
| Facility | | $19,679.05 | $24,063.86 | $55,394.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $18,534.25 / $39,510.07
| Facility | | $100.00 | $18,534.25 | $39,510.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,537.12 / $25,954.00 / $45,528.51
| Facility | | $17,537.12 | $25,954.00 | $45,528.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,314.68 / $38,210.35 / $44,843.09
| Facility | | $26,314.68 | $38,210.35 | $44,843.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,085.18 / $21,997.96 / $45,925.60
| Facility | | $17,085.18 | $21,997.96 | $45,925.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,094.88 / $41,139.69
| Facility | | $5,693.00 | $20,094.88 | $41,139.69 |