- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,728.80 / $33,769.69 / $40,776.10
| Facility | | $17,728.80 | $33,769.69 | $40,776.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $30,493.45 / $45,720.07
| Facility | | $12,397.00 | $30,493.45 | $45,720.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,247.20 / $27,471.96 / $33,472.54
| Facility | | $21,247.20 | $27,471.96 | $33,472.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,504.54 / $21,502.80 / $28,670.40
| Facility | | $13,504.54 | $21,502.80 | $28,670.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,641.09 / $26,406.46 / $39,491.00
| Facility | | $15,641.09 | $26,406.46 | $39,491.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,338.02 / $23,196.21 / $29,049.21
| Facility | | $17,338.02 | $23,196.21 | $29,049.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,794.23 / $42,868.12
| Facility | | $3,775.00 | $29,794.23 | $42,868.12 |