- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,203.80 / $30,864.90 / $37,268.60
| Facility | | $16,203.80 | $30,864.90 | $37,268.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,870.45 / $47,519.35
| Facility | | $6,916.00 | $27,870.45 | $47,519.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,635.65 / $25,960.34 / $31,059.98
| Facility | | $22,635.65 | $25,960.34 | $31,059.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,798.05 / $22,127.20 / $28,635.20
| Facility | | $14,798.05 | $22,127.20 | $28,635.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,255.02 / $27,870.45 / $43,489.70
| Facility | | $16,255.02 | $27,870.45 | $43,489.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,020.34 / $24,976.13 / $33,351.24
| Facility | | $18,020.34 | $24,976.13 | $33,351.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,412.67 / $36,607.51
| Facility | | $3,775.00 | $25,412.67 | $36,607.51 |