- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,698.09 / $29,823.10 / $52,518.50
| Facility | | $18,698.09 | $29,823.10 | $52,518.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,673.36 / $24,987.66 / $35,569.07
| Facility | | $11,673.36 | $24,987.66 | $35,569.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,289.43 / $23,189.04 / $38,847.06
| Facility | | $17,289.43 | $23,189.04 | $38,847.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,187.39 / $20,682.09 / $25,452.02
| Facility | | $14,187.39 | $20,682.09 | $25,452.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,186.60 / $21,325.85 / $34,431.21
| Facility | | $7,186.60 | $21,325.85 | $34,431.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,864.73 / $24,491.08 / $33,577.67
| Facility | | $17,864.73 | $24,491.08 | $33,577.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,680.06 / $51,039.97
| Facility | | $3,775.00 | $18,680.06 | $51,039.97 |