- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,138.80 / $26,931.50 / $32,519.10
| Facility | | $14,138.80 | $26,931.50 | $32,519.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $24,318.65 / $41,409.14
| Facility | | $6,916.00 | $24,318.65 | $41,409.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,051.98 / $22,651.94 / $27,397.04
| Facility | | $20,051.98 | $22,651.94 | $27,397.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,009.59 / $18,965.12 / $24,893.98
| Facility | | $13,009.59 | $18,965.12 | $24,893.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,182.15 / $23,925.03 / $36,734.83
| Facility | | $14,182.15 | $23,925.03 | $36,734.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,703.22 / $21,287.54 / $27,253.61
| Facility | | $15,703.22 | $21,287.54 | $27,253.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,174.08 / $31,942.26
| Facility | | $3,775.00 | $22,174.08 | $31,942.26 |