- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,061.30 / $27,212.30 / $47,920.90
| Facility | | $17,061.30 | $27,212.30 | $47,920.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,081.02 / $23,348.72 / $33,342.31
| Facility | | $7,081.02 | $23,348.72 | $33,342.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,775.90 / $21,159.04 / $35,446.33
| Facility | | $15,775.90 | $21,159.04 | $35,446.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,535.06 / $17,547.75 / $22,013.69
| Facility | | $11,535.06 | $17,547.75 | $22,013.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $19,972.15 / $31,960.32
| Facility | | $6,600.00 | $19,972.15 | $31,960.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,582.71 / $22,783.20 / $31,168.04
| Facility | | $16,582.71 | $22,783.20 | $31,168.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,044.78 / $44,402.12
| Facility | | $3,775.00 | $17,044.78 | $44,402.12 |