- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,047.50 / $30,567.30 / $36,909.30
| Facility | | $16,047.50 | $30,567.30 | $36,909.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,601.70 / $47,378.64
| Facility | | $6,916.00 | $27,601.70 | $47,378.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,620.48 / $26,123.08 / $30,416.68
| Facility | | $22,620.48 | $26,123.08 | $30,416.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,008.95 / $21,822.78 / $30,339.76
| Facility | | $16,008.95 | $21,822.78 | $30,339.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,385.48 / $28,314.16 / $42,503.86
| Facility | | $16,385.48 | $28,314.16 | $42,503.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,169.34 / $24,830.63 / $32,092.52
| Facility | | $18,169.34 | $24,830.63 | $32,092.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,167.62 / $36,254.51
| Facility | | $3,775.00 | $25,167.62 | $36,254.51 |