- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,912.50 / $32,214.90 / $38,898.80
| Facility | | $16,912.50 | $32,214.90 | $38,898.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $29,089.50 / $43,406.71
| Facility | | $12,397.00 | $29,089.50 | $43,406.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,769.20 / $26,189.18 / $30,420.54
| Facility | | $21,769.20 | $26,189.18 | $30,420.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,662.86 / $21,375.22 / $31,847.20
| Facility | | $14,662.86 | $21,375.22 | $31,847.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,859.43 / $26,114.16 / $41,265.30
| Facility | | $14,859.43 | $26,114.16 | $41,265.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,460.74 / $23,588.97 / $32,266.45
| Facility | | $16,460.74 | $23,588.97 | $32,266.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,422.47 / $40,894.43
| Facility | | $3,775.00 | $28,422.47 | $40,894.43 |