- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,341.30 / $33,031.60 / $39,884.90
| Facility | | $17,341.30 | $33,031.60 | $39,884.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $29,826.95 / $50,023.66
| Facility | | $12,397.00 | $29,826.95 | $50,023.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,233.80 / $27,642.52 / $30,495.12
| Facility | | $20,233.80 | $27,642.52 | $30,495.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,516.21 / $22,909.20 / $30,072.77
| Facility | | $14,516.21 | $22,909.20 | $30,072.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,097.58 / $29,502.90 / $45,917.28
| Facility | | $17,097.58 | $29,502.90 | $45,917.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,970.03 / $26,292.39 / $35,099.79
| Facility | | $18,970.03 | $26,292.39 | $35,099.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,143.01 / $41,931.14
| Facility | | $3,775.00 | $29,143.01 | $41,931.14 |