- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,067.69 / $33,248.19 / $55,199.90
| Facility | | $23,067.69 | $33,248.19 | $55,199.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,952.43 / $16,952.43 / $25,835.00
| Facility | | $16,952.43 | $16,952.43 | $25,835.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,254.34 / $30,342.21 / $51,400.33
| Facility | | $20,254.34 | $30,342.21 | $51,400.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,247.40 / $35,463.07 / $50,991.57
| Facility | | $26,247.40 | $35,463.07 | $50,991.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,134.36 / $34,066.33 / $90,569.42
| Facility | | $17,134.36 | $34,066.33 | $90,569.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,134.36 / $33,992.21 / $47,774.38
| Facility | | $17,134.36 | $33,992.21 | $47,774.38 |