- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,170.00 / $32,705.40 / $39,491.00
| Facility | | $17,170.00 | $32,705.40 | $39,491.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $29,532.40 / $50,692.71
| Facility | | $6,916.00 | $29,532.40 | $50,692.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,100.36 / $27,508.38 / $32,588.58
| Facility | | $24,100.36 | $27,508.38 | $32,588.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,819.09 / $24,941.07 / $34,012.00
| Facility | | $16,819.09 | $24,941.07 | $34,012.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,680.41 / $30,515.56 / $45,901.43
| Facility | | $17,680.41 | $30,515.56 | $45,901.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,621.72 / $27,134.02 / $34,594.55
| Facility | | $19,621.72 | $27,134.02 | $34,594.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,928.05 / $38,790.46
| Facility | | $3,775.00 | $26,928.05 | $38,790.46 |