- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,038.80 / $34,360.19 / $41,489.10
| Facility | | $18,038.80 | $34,360.19 | $41,489.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $31,026.65 / $52,847.42
| Facility | | $12,397.00 | $31,026.65 | $52,847.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,301.20 / $28,771.94 / $32,085.66
| Facility | | $21,301.20 | $28,771.94 | $32,085.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,023.55 / $23,028.57 / $31,770.34
| Facility | | $14,023.55 | $23,028.57 | $31,770.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,053.22 / $30,064.95 / $45,732.60
| Facility | | $18,053.22 | $30,064.95 | $45,732.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,040.86 / $26,812.30 / $34,958.62
| Facility | | $20,040.86 | $26,812.30 | $34,958.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,315.20 / $43,617.70
| Facility | | $3,775.00 | $30,315.20 | $43,617.70 |