- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,538.80 / $31,503.00 / $38,039.10
| Facility | | $16,538.80 | $31,503.00 | $38,039.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $28,446.65 / $47,879.21
| Facility | | $6,916.00 | $28,446.65 | $47,879.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,893.40 / $26,578.14 / $31,193.84
| Facility | | $21,893.40 | $26,578.14 | $31,193.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,311.13 / $23,079.03 / $30,844.00
| Facility | | $14,311.13 | $23,079.03 | $30,844.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,371.83 / $28,294.14 / $44,283.65
| Facility | | $16,371.83 | $28,294.14 | $44,283.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,156.81 / $25,314.39 / $34,691.14
| Facility | | $18,156.81 | $25,314.39 | $34,691.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,943.61 / $29,662.58 / $35,856.01
| Facility | | $21,943.61 | $29,662.58 | $35,856.01 |