- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,268.09 / $30,732.10 / $54,119.30
| Facility | | $19,268.09 | $30,732.10 | $54,119.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,585.51 / $24,376.44 / $35,536.08
| Facility | | $9,585.51 | $24,376.44 | $35,536.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,816.45 / $23,895.88 / $40,031.19
| Facility | | $17,816.45 | $23,895.88 | $40,031.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,310.71 / $18,950.25 / $22,245.33
| Facility | | $12,310.71 | $18,950.25 | $22,245.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $22,162.11 / $33,163.48
| Facility | | $6,600.00 | $22,162.11 | $33,163.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,757.20 / $23,711.77 / $32,264.09
| Facility | | $16,757.20 | $23,711.77 | $32,264.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $19,249.46 / $52,595.75
| Facility | | $3,775.00 | $19,249.46 | $52,595.75 |