- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,777.50 / $28,148.20 / $33,988.30
| Facility | | $14,777.50 | $28,148.20 | $33,988.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $25,417.30 / $41,669.86
| Facility | | $6,916.00 | $25,417.30 | $41,669.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,101.59 / $23,291.00 / $28,407.52
| Facility | | $19,101.59 | $23,291.00 | $28,407.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,043.76 / $18,368.50 / $25,050.71
| Facility | | $12,043.76 | $18,368.50 | $25,050.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,270.40 / $24,952.20 / $38,805.48
| Facility | | $14,270.40 | $24,952.20 | $38,805.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,802.09 / $21,969.80 / $29,663.44
| Facility | | $15,802.09 | $21,969.80 | $29,663.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,175.85 / $33,385.33
| Facility | | $3,775.00 | $23,175.85 | $33,385.33 |