- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,446.30 / $29,422.00 / $35,526.40
| Facility | | $15,446.30 | $29,422.00 | $35,526.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $26,567.55 / $48,238.98
| Facility | | $12,397.00 | $26,567.55 | $48,238.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,690.40 / $24,746.74 / $28,252.80
| Facility | | $17,690.40 | $24,746.74 | $28,252.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,777.01 / $20,979.70 / $30,308.98
| Facility | | $12,777.01 | $20,979.70 | $30,308.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,216.20 / $28,017.10 / $40,503.50
| Facility | | $16,216.20 | $28,017.10 | $40,503.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,119.03 / $22,970.12 / $31,144.50
| Facility | | $19,119.03 | $22,970.12 | $31,144.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,958.35 / $37,349.03
| Facility | | $3,775.00 | $25,958.35 | $37,349.03 |