- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,684.90 / $24,790.60 / $43,624.20
| Facility | | $14,684.90 | $24,790.60 | $43,624.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,731.00 / $13,098.52 / $23,948.43
| Facility | | $9,731.00 | $13,098.52 | $23,948.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,413.09 / $27,187.30 / $44,572.81
| Facility | | $18,413.09 | $27,187.30 | $44,572.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,358.23 / $22,472.00 / $31,059.49
| Facility | | $13,358.23 | $22,472.00 | $31,059.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,193.85 / $47,193.85 / $55,385.99
| Facility | | $47,193.85 | $47,193.85 | $55,385.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $21,604.77 / $30,859.95
| Facility | | $1,787.00 | $21,604.77 | $30,859.95 |