- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,410.80 / $34,671.30 / $47,346.70
| Facility | | $19,410.80 | $34,671.30 | $47,346.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,727.00 / $35,078.91 / $53,075.32
| Facility | | $16,727.00 | $35,078.91 | $53,075.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $31,025.84 / $44,704.36
| Facility | | $16,661.00 | $31,025.84 | $44,704.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,944.89 / $34,944.89 / $42,433.09
| Facility | | $34,944.89 | $34,944.89 | $42,433.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,124.50 / $33,301.40 / $46,854.70
| Facility | | $19,124.50 | $33,301.40 | $46,854.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,198.42 / $28,629.45 / $44,586.31
| Facility | | $16,198.42 | $28,629.45 | $44,586.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,405.37 / $23,507.13
| Facility | | $2,621.40 | $16,405.37 | $23,507.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,691.60 / $26,731.42 / $48,487.68
| Facility | | $9,691.60 | $26,731.42 | $48,487.68 |