- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,447.50 / $33,234.00 / $40,129.30
| Facility | | $17,447.50 | $33,234.00 | $40,129.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $30,009.70 / $51,055.49
| Facility | | $6,916.00 | $30,009.70 | $51,055.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,310.65 / $27,952.42 / $32,542.30
| Facility | | $23,310.65 | $27,952.42 | $32,542.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,398.20 / $22,848.00 / $30,693.08
| Facility | | $14,398.20 | $22,848.00 | $30,693.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,446.78 / $29,488.06 / $45,292.28
| Facility | | $17,446.78 | $29,488.06 | $45,292.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,361.32 / $26,232.78 / $33,390.87
| Facility | | $19,361.32 | $26,232.78 | $33,390.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,363.26 / $39,417.39
| Facility | | $3,775.00 | $27,363.26 | $39,417.39 |