- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,031.30 / $28,631.50 / $34,571.90
| Facility | | $15,031.30 | $28,631.50 | $34,571.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $25,853.75 / $42,264.72
| Facility | | $6,916.00 | $25,853.75 | $42,264.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,252.98 / $23,863.34 / $28,970.06
| Facility | | $21,252.98 | $23,863.34 | $28,970.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,407.92 / $19,070.59 / $59,999.40
| Facility | | $13,407.92 | $19,070.59 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,805.97 / $25,352.12 / $37,493.83
| Facility | | $12,805.97 | $25,352.12 | $37,493.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,027.68 / $20,796.30 / $29,591.61
| Facility | | $16,027.68 | $20,796.30 | $29,591.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,573.81 / $33,958.60
| Facility | | $3,775.00 | $23,573.81 | $33,958.60 |