- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,258.80 / $32,874.50 / $39,695.10
| Facility | | $17,258.80 | $32,874.50 | $39,695.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $29,685.05 / $46,421.42
| Facility | | $6,916.00 | $29,685.05 | $46,421.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,893.38 / $26,744.46 / $32,263.28
| Facility | | $23,893.38 | $26,744.46 | $32,263.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,409.87 / $22,314.20 / $28,877.20
| Facility | | $15,409.87 | $22,314.20 | $28,877.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,879.71 / $28,593.19 / $44,064.00
| Facility | | $15,879.71 | $28,593.19 | $44,064.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,603.99 / $25,344.12 / $33,683.12
| Facility | | $17,603.99 | $25,344.12 | $33,683.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,067.24 / $38,990.97
| Facility | | $3,775.00 | $27,067.24 | $38,990.97 |