- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,421.70 / $29,382.20 / $51,742.00
| Facility | | $18,421.70 | $29,382.20 | $51,742.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,393.68 / $26,463.87 / $38,728.83
| Facility | | $10,393.68 | $26,463.87 | $38,728.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,033.83 / $22,846.21 / $38,272.74
| Facility | | $17,033.83 | $22,846.21 | $38,272.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,609.74 / $21,164.55 / $24,653.64
| Facility | | $12,609.74 | $21,164.55 | $24,653.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,092.22 / $23,196.83 / $36,753.81
| Facility | | $7,092.22 | $23,196.83 | $36,753.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,571.36 / $26,013.56 / $35,366.85
| Facility | | $18,571.36 | $26,013.56 | $35,366.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,403.89 / $50,285.39
| Facility | | $3,775.00 | $18,403.89 | $50,285.39 |