- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,746.09 / $28,304.70 / $49,844.60
| Facility | | $17,746.09 | $28,304.70 | $49,844.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,804.74 / $23,375.79 / $33,981.69
| Facility | | $10,804.74 | $23,375.79 | $33,981.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,409.16 / $22,008.40 / $36,869.22
| Facility | | $16,409.16 | $22,008.40 | $36,869.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,857.21 / $18,562.30 / $23,065.70
| Facility | | $12,857.21 | $18,562.30 | $23,065.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $20,918.50 / $31,802.12
| Facility | | $6,600.00 | $20,918.50 | $31,802.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,069.32 / $22,508.86 / $30,602.02
| Facility | | $16,069.32 | $22,508.86 | $30,602.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,728.99 / $46,184.51
| Facility | | $3,775.00 | $17,728.99 | $46,184.51 |