- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,305.00 / $32,962.60 / $39,801.50
| Facility | | $17,305.00 | $32,962.60 | $39,801.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $29,764.60 / $53,048.83
| Facility | | $12,397.00 | $29,764.60 | $53,048.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,273.60 / $27,811.56 / $32,802.19
| Facility | | $24,273.60 | $27,811.56 | $32,802.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,929.08 / $26,274.60 / $35,032.80
| Facility | | $16,929.08 | $26,274.60 | $35,032.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,931.82 / $32,022.46 / $47,396.00
| Facility | | $18,931.82 | $32,022.46 | $47,396.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,025.36 / $28,129.44 / $38,361.61
| Facility | | $21,025.36 | $28,129.44 | $38,361.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,082.09 / $41,843.49
| Facility | | $3,775.00 | $29,082.09 | $41,843.49 |