- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,041.30 / $32,460.20 / $39,194.90
| Facility | | $17,041.30 | $32,460.20 | $39,194.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $29,310.95 / $50,312.59
| Facility | | $12,397.00 | $29,310.95 | $50,312.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,535.29 / $27,302.12 / $31,941.68
| Facility | | $23,535.29 | $27,302.12 | $31,941.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,066.36 / $23,467.95 / $31,290.60
| Facility | | $16,066.36 | $23,467.95 | $31,290.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,197.00 / $29,153.82 / $44,634.27
| Facility | | $17,197.00 | $29,153.82 | $44,634.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,080.04 / $25,900.13 / $34,089.30
| Facility | | $19,080.04 | $25,900.13 | $34,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,638.84 / $41,205.74
| Facility | | $3,775.00 | $28,638.84 | $41,205.74 |