- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,741.30 / $26,174.30 / $31,604.90
| Facility | | $13,741.30 | $26,174.30 | $31,604.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $23,634.95 / $40,569.67
| Facility | | $6,916.00 | $23,634.95 | $40,569.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,797.40 / $22,015.12 / $26,719.16
| Facility | | $18,797.40 | $22,015.12 | $26,719.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,158.33 / $18,300.50 / $24,448.06
| Facility | | $12,158.33 | $18,300.50 | $24,448.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,931.12 / $23,488.22 / $36,076.81
| Facility | | $13,931.12 | $23,488.22 | $36,076.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,421.94 / $20,829.18 / $26,550.22
| Facility | | $15,421.94 | $20,829.18 | $26,550.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,550.68 / $31,044.23
| Facility | | $3,775.00 | $21,550.68 | $31,044.23 |