- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,503.80 / $27,626.70 / $33,358.60
| Facility | | $14,503.80 | $27,626.70 | $33,358.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $24,946.45 / $42,820.87
| Facility | | $6,916.00 | $24,946.45 | $42,820.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,477.80 / $23,236.74 / $27,974.46
| Facility | | $19,477.80 | $23,236.74 | $27,974.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,367.99 / $18,941.40 / $25,834.37
| Facility | | $12,367.99 | $18,941.40 | $25,834.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,714.03 / $24,897.28 / $38,122.51
| Facility | | $14,714.03 | $24,897.28 | $38,122.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,296.43 / $22,586.79 / $28,410.23
| Facility | | $16,296.43 | $22,586.79 | $28,410.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,746.52 / $32,766.87
| Facility | | $3,775.00 | $22,746.52 | $32,766.87 |