- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,488.30 / $27,893.50 / $49,120.50
| Facility | | $17,488.30 | $27,893.50 | $49,120.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,217.00 / $23,749.19 / $34,524.51
| Facility | | $10,217.00 | $23,749.19 | $34,524.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,170.80 / $21,688.69 / $36,333.62
| Facility | | $16,170.80 | $21,688.69 | $36,333.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,340.50 / $17,989.72 / $22,138.71
| Facility | | $12,340.50 | $17,989.72 | $22,138.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $21,214.71 / $32,310.13
| Facility | | $6,600.00 | $21,214.71 | $32,310.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,326.01 / $22,868.42 / $31,090.86
| Facility | | $16,326.01 | $22,868.42 | $31,090.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,471.43 / $45,513.58
| Facility | | $3,775.00 | $17,471.43 | $45,513.58 |