- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,473.80 / $33,284.00 / $40,189.60
| Facility | | $17,473.80 | $33,284.00 | $40,189.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $30,054.85 / $49,759.27
| Facility | | $12,397.00 | $30,054.85 | $49,759.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,840.46 / $27,630.49 / $31,250.34
| Facility | | $23,840.46 | $27,630.49 | $31,250.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,974.04 / $22,934.70 / $29,913.83
| Facility | | $15,974.04 | $22,934.70 | $29,913.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,008.09 / $29,282.72 / $43,557.40
| Facility | | $17,008.09 | $29,282.72 | $43,557.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,869.77 / $25,245.51 / $34,356.78
| Facility | | $18,869.77 | $25,245.51 | $34,356.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,365.69 / $42,251.53
| Facility | | $3,775.00 | $29,365.69 | $42,251.53 |