- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,243.80 / $34,750.69 / $41,960.60
| Facility | | $18,243.80 | $34,750.69 | $41,960.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $31,379.25 / $51,455.74
| Facility | | $12,397.00 | $31,379.25 | $51,455.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,282.09 / $28,572.51 / $32,388.74
| Facility | | $24,282.09 | $28,572.51 | $32,388.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,410.46 / $23,958.10 / $32,824.74
| Facility | | $17,410.46 | $23,958.10 | $32,824.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,582.24 / $30,408.21 / $45,647.35
| Facility | | $17,582.24 | $30,408.21 | $45,647.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,513.09 / $27,004.44 / $34,777.82
| Facility | | $19,513.09 | $27,004.44 | $34,777.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,659.72 / $44,113.39
| Facility | | $3,775.00 | $30,659.72 | $44,113.39 |