- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,508.80 / $29,541.10 / $35,670.10
| Facility | | $15,508.80 | $29,541.10 | $35,670.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $26,675.05 / $44,016.26
| Facility | | $12,397.00 | $26,675.05 | $44,016.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,162.00 / $24,441.49 / $27,847.58
| Facility | | $18,162.00 | $24,441.49 | $27,847.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,310.71 / $19,257.59 / $24,921.60
| Facility | | $12,310.71 | $19,257.59 | $24,921.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,064.48 / $25,019.66 / $38,927.00
| Facility | | $15,064.48 | $25,019.66 | $38,927.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,691.90 / $22,331.78 / $28,992.25
| Facility | | $16,691.90 | $22,331.78 | $28,992.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,063.38 / $37,500.16
| Facility | | $3,775.00 | $26,063.38 | $37,500.16 |