- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,698.09 / $29,823.10 / $52,518.50
| Facility | | $18,698.09 | $29,823.10 | $52,518.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,566.41 / $23,566.41 / $23,566.41
| Facility | | $23,566.41 | $23,566.41 | $23,566.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,686.87 / $25,219.75 / $36,662.29
| Facility | | $9,686.87 | $25,219.75 | $36,662.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,289.43 / $23,189.04 / $38,847.06
| Facility | | $17,289.43 | $23,189.04 | $38,847.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,616.82 / $19,850.33 / $24,428.43
| Facility | | $13,616.82 | $19,850.33 | $24,428.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,042.12 / $22,466.57 / $34,310.79
| Facility | | $7,042.12 | $22,466.57 | $34,310.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,336.93 / $24,284.44 / $33,016.01
| Facility | | $17,336.93 | $24,284.44 | $33,016.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,680.06 / $48,662.07
| Facility | | $3,775.00 | $18,680.06 | $48,662.07 |