- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,297.50 / $27,233.90 / $32,884.30
| Facility | | $14,297.50 | $27,233.90 | $32,884.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $24,591.70 / $41,412.82
| Facility | | $6,916.00 | $24,591.70 | $41,412.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,265.58 / $22,906.28 / $27,648.16
| Facility | | $20,265.58 | $22,906.28 | $27,648.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,408.30 / $19,342.95 / $25,029.40
| Facility | | $13,408.30 | $19,342.95 | $25,029.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,183.40 / $24,591.70 / $37,204.92
| Facility | | $14,183.40 | $24,591.70 | $37,204.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,704.62 / $22,051.87 / $28,439.95
| Facility | | $15,704.62 | $22,051.87 | $28,439.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,423.06 / $32,300.91
| Facility | | $3,775.00 | $22,423.06 | $32,300.91 |