- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,747.40 / $25,116.80 / $44,230.70
| Facility | | $15,747.40 | $25,116.80 | $44,230.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,777.00 / $20,856.33 / $30,319.12
| Facility | | $9,777.00 | $20,856.33 | $30,319.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,561.04 / $19,529.64 / $32,716.71
| Facility | | $14,561.04 | $19,529.64 | $32,716.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,477.77 / $16,732.06 / $20,591.00
| Facility | | $11,477.77 | $16,732.06 | $20,591.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $18,819.18 / $28,374.47
| Facility | | $6,600.00 | $18,819.18 | $28,374.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,337.36 / $20,287.65 / $27,568.83
| Facility | | $14,337.36 | $20,287.65 | $27,568.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,732.21 / $40,982.83
| Facility | | $3,775.00 | $15,732.21 | $40,982.83 |