- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,230.90 / $32,267.90 / $56,823.80
| Facility | | $20,230.90 | $32,267.90 | $56,823.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,779.63 / $27,622.30 / $40,166.28
| Facility | | $10,779.63 | $27,622.30 | $40,166.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,706.77 / $25,090.00 / $42,031.62
| Facility | | $18,706.77 | $25,090.00 | $42,031.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,549.23 / $21,029.25 / $25,214.56
| Facility | | $13,549.23 | $21,029.25 | $25,214.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $24,433.80 / $37,590.03
| Facility | | $6,746.00 | $24,433.80 | $37,590.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,993.90 / $26,605.42 / $36,171.51
| Facility | | $18,993.90 | $26,605.42 | $36,171.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,211.39 / $52,651.23
| Facility | | $3,775.00 | $20,211.39 | $52,651.23 |