- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,511.30 / $29,545.80 / $35,675.90
| Facility | | $15,511.30 | $29,545.80 | $35,675.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $26,679.35 / $44,930.59
| Facility | | $6,916.00 | $26,679.35 | $44,930.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,241.20 / $24,850.88 / $29,568.34
| Facility | | $18,241.20 | $24,850.88 | $29,568.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,287.79 / $19,164.09 / $27,010.97
| Facility | | $12,287.79 | $19,164.09 | $27,010.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,373.91 / $25,477.18 / $39,771.19
| Facility | | $15,373.91 | $25,477.18 | $39,771.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,038.63 / $22,795.67 / $28,321.06
| Facility | | $17,038.63 | $22,795.67 | $28,321.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,326.60 / $35,043.01
| Facility | | $3,775.00 | $24,326.60 | $35,043.01 |