- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,080.00 / $32,534.00 / $39,284.00
| Facility | | $17,080.00 | $32,534.00 | $39,284.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $29,377.60 / $49,715.21
| Facility | | $12,397.00 | $29,377.60 | $49,715.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,860.65 / $27,322.04 / $30,668.20
| Facility | | $22,860.65 | $27,322.04 | $30,668.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,780.87 / $23,024.80 / $29,887.34
| Facility | | $14,780.87 | $23,024.80 | $29,887.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,993.18 / $28,941.02 / $45,415.95
| Facility | | $16,993.18 | $28,941.02 | $45,415.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,853.06 / $26,130.27 / $35,109.69
| Facility | | $18,853.06 | $26,130.27 | $35,109.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,703.96 / $41,299.44
| Facility | | $3,775.00 | $28,703.96 | $41,299.44 |