- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,195.00 / $30,848.20 / $37,248.50
| Facility | | $16,195.00 | $30,848.20 | $37,248.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,855.40 / $47,814.12
| Facility | | $6,916.00 | $27,855.40 | $47,814.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,288.80 / $25,946.30 / $30,650.00
| Facility | | $19,288.80 | $25,946.30 | $30,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,005.01 / $21,547.50 / $29,456.88
| Facility | | $13,005.01 | $21,547.50 | $29,456.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,755.83 / $28,061.22 / $43,468.08
| Facility | | $16,755.83 | $28,061.22 | $43,468.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,715.70 / $25,753.92 / $32,234.25
| Facility | | $15,715.70 | $25,753.92 | $32,234.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,398.94 / $36,587.74
| Facility | | $3,775.00 | $25,398.94 | $36,587.74 |