- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,255.50 / $29,117.10 / $51,275.30
| Facility | | $18,255.50 | $29,117.10 | $51,275.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,522.27 / $23,935.90 / $34,795.94
| Facility | | $9,522.27 | $23,935.90 | $34,795.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,880.18 / $22,640.13 / $37,927.51
| Facility | | $16,880.18 | $22,640.13 | $37,927.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,760.97 / $18,795.15 / $22,893.05
| Facility | | $12,760.97 | $18,795.15 | $22,893.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $21,203.53 / $32,564.14
| Facility | | $6,600.00 | $21,203.53 | $32,564.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,454.36 / $23,048.20 / $31,335.28
| Facility | | $16,454.36 | $23,048.20 | $31,335.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,237.88 / $49,831.80
| Facility | | $3,775.00 | $18,237.88 | $49,831.80 |