- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,072.09 / $27,229.70 / $47,951.50
| Facility | | $17,072.09 | $27,229.70 | $47,951.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,758.06 / $22,593.31 / $32,844.19
| Facility | | $7,758.06 | $22,593.31 | $32,844.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,785.95 / $21,172.52 / $35,468.91
| Facility | | $15,785.95 | $21,172.52 | $35,468.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,158.33 / $17,854.65 / $21,811.90
| Facility | | $12,158.33 | $17,854.65 | $21,811.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $20,510.16 / $30,737.58
| Facility | | $6,600.00 | $20,510.16 | $30,737.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,531.42 / $21,977.26 / $29,903.98
| Facility | | $15,531.42 | $21,977.26 | $29,903.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,055.64 / $44,430.41
| Facility | | $3,775.00 | $17,055.64 | $44,430.41 |