- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,853.80 / $30,198.20 / $36,463.60
| Facility | | $15,853.80 | $30,198.20 | $36,463.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,268.45 / $46,806.61
| Facility | | $6,916.00 | $27,268.45 | $46,806.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,364.02 / $25,399.60 / $30,110.18
| Facility | | $21,364.02 | $25,399.60 | $30,110.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,150.73 / $21,236.40 / $28,355.34
| Facility | | $14,150.73 | $21,236.40 | $28,355.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,136.95 / $27,242.08 / $41,842.58
| Facility | | $16,136.95 | $27,242.08 | $41,842.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,886.66 / $24,672.04 / $31,800.83
| Facility | | $17,886.66 | $24,672.04 | $31,800.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,863.75 / $35,816.79
| Facility | | $3,775.00 | $24,863.75 | $35,816.79 |