- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,401.30 / $35,050.69 / $42,322.90
| Facility | | $18,401.30 | $35,050.69 | $42,322.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $31,650.15 / $54,327.85
| Facility | | $6,916.00 | $31,650.15 | $54,327.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,348.60 / $29,394.76 / $33,952.33
| Facility | | $24,348.60 | $29,394.76 | $33,952.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,941.48 / $25,124.30 / $32,796.83
| Facility | | $15,941.48 | $25,124.30 | $32,796.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,632.34 / $31,650.15 / $48,898.08
| Facility | | $18,632.34 | $31,650.15 | $48,898.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,688.37 / $28,843.73 / $37,378.36
| Facility | | $20,688.37 | $28,843.73 | $37,378.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,859.05 / $41,572.10
| Facility | | $3,775.00 | $28,859.05 | $41,572.10 |