- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,659.40 / $31,356.30 / $55,218.60
| Facility | | $19,659.40 | $31,356.30 | $55,218.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,019.09 / $24,019.09 / $24,019.09
| Facility | | $24,019.09 | $24,019.09 | $24,019.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,322.07 / $25,265.90 / $36,729.37
| Facility | | $10,322.07 | $25,265.90 | $36,729.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,178.32 / $24,381.23 / $40,844.26
| Facility | | $18,178.32 | $24,381.23 | $40,844.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,706.19 / $20,186.09 / $24,588.75
| Facility | | $13,706.19 | $20,186.09 | $24,588.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,933.18 / $22,938.26 / $34,373.58
| Facility | | $6,933.18 | $22,938.26 | $34,373.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,368.65 / $24,576.99 / $33,441.37
| Facility | | $17,368.65 | $24,576.99 | $33,441.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $19,640.43 / $51,163.88
| Facility | | $3,775.00 | $19,640.43 | $51,163.88 |