- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,271.20 / $30,737.10 / $54,128.10
| Facility | | $19,271.20 | $30,737.10 | $54,128.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,897.99 / $24,905.08 / $36,274.33
| Facility | | $9,897.99 | $24,905.08 | $36,274.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,819.32 / $23,899.73 / $40,037.64
| Facility | | $17,819.32 | $23,899.73 | $40,037.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,287.79 / $18,600.45 / $22,727.76
| Facility | | $12,287.79 | $18,600.45 | $22,727.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $22,631.59 / $33,882.69
| Facility | | $6,600.00 | $22,631.59 | $33,882.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,120.61 / $24,226.00 / $32,963.80
| Facility | | $17,120.61 | $24,226.00 | $32,963.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,208.54 / $11,800.21 / $27,819.74
| Facility | | $8,208.54 | $11,800.21 | $27,819.74 |