- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,011.30 / $26,688.60 / $32,225.90
| Facility | | $14,011.30 | $26,688.60 | $32,225.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $24,099.35 / $41,366.81
| Facility | | $6,916.00 | $24,099.35 | $41,366.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,113.57 / $22,447.70 / $27,195.34
| Facility | | $19,113.57 | $22,447.70 | $27,195.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,151.45 / $19,602.70 / $25,595.96
| Facility | | $12,151.45 | $19,602.70 | $25,595.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,577.34 / $24,674.97 / $37,770.71
| Facility | | $14,577.34 | $24,674.97 | $37,770.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,146.04 / $22,671.70 / $28,479.57
| Facility | | $16,146.04 | $22,671.70 | $28,479.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,974.12 / $31,654.22
| Facility | | $3,775.00 | $21,974.12 | $31,654.22 |