- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,050.30 / $23,428.10 / $39,714.50
| Facility | | $16,050.30 | $23,428.10 | $39,714.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,065.17 / $13,119.26 / $19,176.18
| Facility | | $9,065.17 | $13,119.26 | $19,176.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,007.00 / $19,363.29 / $28,136.17
| Facility | | $9,007.00 | $19,363.29 | $28,136.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $18,466.49 / $30,935.68
| Facility | | $12,397.00 | $18,466.49 | $30,935.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,155.59 / $15,085.80 / $19,522.80
| Facility | | $8,155.59 | $15,085.80 | $19,522.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,641.14 / $16,847.78 / $24,565.86
| Facility | | $7,641.14 | $16,847.78 | $24,565.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,923.33 / $18,275.63 / $25,838.23
| Facility | | $12,923.33 | $18,275.63 | $25,838.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,382.76 / $20,955.53 / $30,148.51
| Facility | | $7,382.76 | $20,955.53 | $30,148.51 |