- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,131.50 / $32,109.40 / $56,544.60
| Facility | | $20,131.50 | $32,109.40 | $56,544.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,129.81 / $27,233.64 / $39,589.91
| Facility | | $9,129.81 | $27,233.64 | $39,589.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,614.87 / $24,966.74 / $41,825.12
| Facility | | $18,614.87 | $24,966.74 | $41,825.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,798.05 / $21,572.30 / $26,547.55
| Facility | | $14,798.05 | $21,572.30 | $26,547.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,610.12 / $24,113.38 / $37,050.62
| Facility | | $7,610.12 | $24,113.38 | $37,050.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,721.34 / $26,223.64 / $35,652.47
| Facility | | $18,721.34 | $26,223.64 | $35,652.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,112.09 / $52,392.56
| Facility | | $3,775.00 | $20,112.09 | $52,392.56 |