- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,120.70 / $32,092.00 / $56,514.10
| Facility | | $20,120.70 | $32,092.00 | $56,514.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,089.00 / $28,357.33 / $41,499.83
| Facility | | $12,089.00 | $28,357.33 | $41,499.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,604.82 / $24,953.26 / $41,802.53
| Facility | | $18,604.82 | $24,953.26 | $41,802.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,005.01 / $20,913.75 / $26,097.10
| Facility | | $13,005.01 | $20,913.75 | $26,097.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $24,864.13 / $38,905.73
| Facility | | $6,600.00 | $24,864.13 | $38,905.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,658.71 / $27,536.64 / $37,437.56
| Facility | | $19,658.71 | $27,536.64 | $37,437.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,101.23 / $52,364.27
| Facility | | $3,775.00 | $20,101.23 | $52,364.27 |