- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,078.30 / $27,239.60 / $47,968.90
| Facility | | $17,078.30 | $27,239.60 | $47,968.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $23,460.61 / $33,264.56
| Facility | | $6,746.00 | $23,460.61 | $33,264.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,791.69 / $21,180.22 / $35,481.82
| Facility | | $15,791.69 | $21,180.22 | $35,481.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,335.79 / $17,490.00 / $22,750.73
| Facility | | $11,335.79 | $17,490.00 | $22,750.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $20,133.87 / $33,030.39
| Facility | | $6,409.00 | $20,133.87 | $33,030.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,137.91 / $23,494.67 / $32,211.58
| Facility | | $17,137.91 | $23,494.67 | $32,211.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,061.84 / $46,618.48
| Facility | | $3,775.00 | $17,061.84 | $46,618.48 |