- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,671.70 / $29,781.00 / $52,444.30
| Facility | | $18,671.70 | $29,781.00 | $52,444.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,326.47 / $25,503.04 / $36,847.28
| Facility | | $11,326.47 | $25,503.04 | $36,847.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,265.03 / $23,156.30 / $38,792.21
| Facility | | $17,265.03 | $23,156.30 | $38,792.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,647.71 / $20,818.20 / $26,941.20
| Facility | | $11,647.71 | $20,818.20 | $26,941.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,912.97 / $22,378.98 / $35,084.65
| Facility | | $10,912.97 | $22,378.98 | $35,084.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,456.93 / $24,917.77 / $33,837.89
| Facility | | $18,456.93 | $24,917.77 | $33,837.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,653.68 / $50,967.90
| Facility | | $3,775.00 | $18,653.68 | $50,967.90 |