- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,359.59 / $29,283.10 / $51,567.60
| Facility | | $18,359.59 | $29,283.10 | $51,567.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,187.04 / $24,271.23 / $35,292.28
| Facility | | $7,187.04 | $24,271.23 | $35,292.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,976.39 / $22,769.17 / $38,143.68
| Facility | | $16,976.39 | $22,769.17 | $38,143.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,043.76 / $17,828.25 / $22,746.90
| Facility | | $12,043.76 | $17,828.25 | $22,746.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $21,138.33 / $33,641.58
| Facility | | $6,600.00 | $21,138.33 | $33,641.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,135.03 / $23,898.89 / $32,409.89
| Facility | | $17,135.03 | $23,898.89 | $32,409.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,341.83 / $47,780.98
| Facility | | $3,775.00 | $18,341.83 | $47,780.98 |