- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,964.80 / $25,463.60 / $44,841.40
| Facility | | $15,964.80 | $25,463.60 | $44,841.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,106.31 / $22,545.19 / $32,993.99
| Facility | | $10,106.31 | $22,545.19 | $32,993.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,762.08 / $19,799.28 / $33,168.42
| Facility | | $14,762.08 | $19,799.28 | $33,168.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,370.28 / $17,768.40 / $22,192.15
| Facility | | $12,370.28 | $17,768.40 | $22,192.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $19,761.64 / $31,128.58
| Facility | | $6,746.00 | $19,761.64 | $31,128.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,728.98 / $22,032.14 / $29,953.89
| Facility | | $15,728.98 | $22,032.14 | $29,953.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,949.42 / $41,548.68
| Facility | | $3,775.00 | $15,949.42 | $41,548.68 |