- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,423.20 / $29,384.70 / $51,746.40
| Facility | | $18,423.20 | $29,384.70 | $51,746.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,778.02 / $25,381.28 / $36,897.11
| Facility | | $9,778.02 | $25,381.28 | $36,897.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,035.27 / $22,848.14 / $38,275.97
| Facility | | $17,035.27 | $22,848.14 | $38,275.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,984.18 / $18,938.70 / $23,162.33
| Facility | | $11,984.18 | $18,938.70 | $23,162.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $22,775.82 / $34,530.55
| Facility | | $6,600.00 | $22,775.82 | $34,530.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,447.97 / $24,439.98 / $33,227.48
| Facility | | $17,447.97 | $24,439.98 | $33,227.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,405.43 / $47,946.69
| Facility | | $3,775.00 | $18,405.43 | $47,946.69 |