- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,578.30 / $26,442.00 / $46,564.40
| Facility | | $16,578.30 | $26,442.00 | $46,564.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,456.74 / $22,383.53 / $32,539.23
| Facility | | $7,456.74 | $22,383.53 | $32,539.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,329.30 / $20,560.05 / $34,442.89
| Facility | | $15,329.30 | $20,560.05 | $34,442.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,667.96 / $17,222.70 / $20,932.18
| Facility | | $11,667.96 | $17,222.70 | $20,932.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $19,942.34 / $30,452.18
| Facility | | $6,600.00 | $19,942.34 | $30,452.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,387.21 / $21,553.40 / $29,303.02
| Facility | | $15,387.21 | $21,553.40 | $29,303.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,562.25 / $43,145.15
| Facility | | $3,775.00 | $16,562.25 | $43,145.15 |