- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,491.30 / $33,317.30 / $40,229.90
| Facility | | $17,491.30 | $33,317.30 | $40,229.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $30,084.95 / $51,641.17
| Facility | | $12,397.00 | $30,084.95 | $51,641.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,461.54 / $28,023.08 / $30,711.80
| Facility | | $24,461.54 | $28,023.08 | $30,711.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,891.28 / $25,364.10 / $34,650.00
| Facility | | $16,891.28 | $25,364.10 | $34,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,976.18 / $30,893.10 / $47,815.92
| Facility | | $17,976.18 | $30,893.10 | $47,815.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,954.53 / $28,019.45 / $36,551.14
| Facility | | $19,954.53 | $28,019.45 | $36,551.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,395.10 / $42,293.84
| Facility | | $3,775.00 | $29,395.10 | $42,293.84 |