- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,186.30 / $36,546.00 / $44,128.40
| Facility | | $19,186.30 | $36,546.00 | $44,128.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $33,000.35 / $56,218.32
| Facility | | $12,397.00 | $33,000.35 | $56,218.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,671.80 / $30,539.52 / $35,112.92
| Facility | | $23,671.80 | $30,539.52 | $35,112.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,115.84 / $24,762.20 / $33,796.83
| Facility | | $17,115.84 | $24,762.20 | $33,796.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,194.04 / $32,469.94 / $49,872.33
| Facility | | $19,194.04 | $32,469.94 | $49,872.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,319.18 / $29,869.30 / $37,623.55
| Facility | | $21,319.18 | $29,869.30 | $37,623.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,243.64 / $46,392.35
| Facility | | $3,775.00 | $32,243.64 | $46,392.35 |