- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,442.00 / $31,009.60 / $54,607.90
| Facility | | $19,442.00 | $31,009.60 | $54,607.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,198.62 / $22,002.00 / $31,196.41
| Facility | | $9,198.62 | $22,002.00 | $31,196.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,977.28 / $24,111.59 / $40,392.55
| Facility | | $17,977.28 | $24,111.59 | $40,392.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,621.41 / $18,183.00 / $24,436.65
| Facility | | $13,621.41 | $18,183.00 | $24,436.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $18,881.86 / $30,976.41
| Facility | | $6,600.00 | $18,881.86 | $30,976.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,072.20 / $22,033.67 / $30,208.52
| Facility | | $16,072.20 | $22,033.67 | $30,208.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $19,423.23 / $53,070.54
| Facility | | $3,775.00 | $19,423.23 | $53,070.54 |