- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,283.70 / $27,207.70 / $32,852.60
| Facility | | $14,283.70 | $27,207.70 | $32,852.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $24,568.05 / $41,232.89
| Facility | | $6,916.00 | $24,568.05 | $41,232.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,446.43 / $22,884.28 / $27,626.44
| Facility | | $19,446.43 | $22,884.28 | $27,626.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,857.21 / $18,562.30 / $24,788.02
| Facility | | $12,857.21 | $18,562.30 | $24,788.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,123.74 / $24,200.40 / $37,329.05
| Facility | | $14,123.74 | $24,200.40 | $37,329.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,636.38 / $21,550.56 / $28,541.49
| Facility | | $15,636.38 | $21,550.56 | $28,541.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,401.49 / $32,269.85
| Facility | | $3,775.00 | $22,401.49 | $32,269.85 |