- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,079.80 / $25,646.90 / $45,164.10
| Facility | | $16,079.80 | $25,646.90 | $45,164.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,728.00 / $21,814.06 / $31,927.26
| Facility | | $10,728.00 | $21,814.06 | $31,927.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,868.34 / $19,941.80 / $33,407.18
| Facility | | $14,868.34 | $19,941.80 | $33,407.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,072.50 / $18,170.82 / $29,885.52
| Facility | | $13,072.50 | $18,170.82 | $29,885.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,826.84 / $19,124.53 / $29,921.34
| Facility | | $7,826.84 | $19,124.53 | $29,921.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,118.98 / $21,177.68 / $28,792.21
| Facility | | $15,118.98 | $21,177.68 | $28,792.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,849.17 / $9,998.11 / $23,212.63
| Facility | | $6,849.17 | $9,998.11 | $23,212.63 |