- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,618.70 / $26,506.40 / $46,677.80
| Facility | | $16,618.70 | $26,506.40 | $46,677.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,481.35 / $22,689.80 / $32,984.47
| Facility | | $9,481.35 | $22,689.80 | $32,984.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,366.64 / $20,610.13 / $34,526.78
| Facility | | $15,366.64 | $20,610.13 | $34,526.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,463.30 / $18,956.70 / $24,153.01
| Facility | | $13,463.30 | $18,956.70 | $24,153.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,646.73 / $20,298.16 / $30,868.86
| Facility | | $6,646.73 | $20,298.16 | $30,868.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,597.75 / $21,848.32 / $29,703.98
| Facility | | $15,597.75 | $21,848.32 | $29,703.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,602.59 / $43,250.23
| Facility | | $3,775.00 | $16,602.59 | $43,250.23 |