- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,747.80 / $29,902.30 / $52,658.10
| Facility | | $18,747.80 | $29,902.30 | $52,658.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,641.99 / $25,303.66 / $36,784.28
| Facility | | $10,641.99 | $25,303.66 | $36,784.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,335.39 / $23,250.67 / $38,950.31
| Facility | | $17,335.39 | $23,250.67 | $38,950.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,683.27 / $20,623.34 / $24,547.64
| Facility | | $13,683.27 | $20,623.34 | $24,547.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $22,447.95 / $34,424.94
| Facility | | $6,746.00 | $22,447.95 | $34,424.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,394.61 / $24,365.24 / $33,125.87
| Facility | | $17,394.61 | $24,365.24 | $33,125.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,729.71 / $48,791.40
| Facility | | $3,775.00 | $18,729.71 | $48,791.40 |