- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,957.50 / $28,491.00 / $34,402.30
| Facility | | $14,957.50 | $28,491.00 | $34,402.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $25,726.90 / $42,716.38
| Facility | | $6,916.00 | $25,726.90 | $42,716.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,062.00 / $23,719.69 / $27,530.24
| Facility | | $19,062.00 | $23,719.69 | $27,530.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,292.38 / $18,611.59 / $25,679.85
| Facility | | $12,292.38 | $18,611.59 | $25,679.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,624.57 / $25,132.80 / $37,894.50
| Facility | | $14,624.57 | $25,132.80 | $37,894.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,198.95 / $21,682.07 / $29,864.05
| Facility | | $16,198.95 | $21,682.07 | $29,864.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,458.15 / $33,791.98
| Facility | | $3,775.00 | $23,458.15 | $33,791.98 |