- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,553.80 / $33,436.40 / $40,373.60
| Facility | | $17,553.80 | $33,436.40 | $40,373.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $30,192.45 / $51,661.37
| Facility | | $6,916.00 | $30,192.45 | $51,661.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,385.60 / $28,113.12 / $32,699.40
| Facility | | $23,385.60 | $28,113.12 | $32,699.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,326.23 / $23,448.10 / $31,057.32
| Facility | | $15,326.23 | $23,448.10 | $31,057.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,651.82 / $29,703.75 / $45,829.77
| Facility | | $17,651.82 | $29,703.75 | $45,829.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,591.08 / $27,145.62 / $34,433.56
| Facility | | $19,591.08 | $27,145.62 | $34,433.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,529.90 / $39,657.43
| Facility | | $3,775.00 | $27,529.90 | $39,657.43 |