- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,826.30 / $33,955.40 / $41,000.40
| Facility | | $17,826.30 | $33,955.40 | $41,000.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $30,661.15 / $50,438.59
| Facility | | $12,397.00 | $30,661.15 | $50,438.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,551.40 / $28,007.70 / $31,195.80
| Facility | | $21,551.40 | $28,007.70 | $31,195.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,486.42 / $21,758.30 / $30,322.22
| Facility | | $14,486.42 | $21,758.30 | $30,322.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,237.99 / $28,494.98 / $43,526.55
| Facility | | $17,237.99 | $28,494.98 | $43,526.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,127.38 / $25,590.17 / $32,516.59
| Facility | | $19,127.38 | $25,590.17 | $32,516.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,958.08 / $43,103.87
| Facility | | $3,775.00 | $29,958.08 | $43,103.87 |