- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,048.80 / $34,379.30 / $41,512.10
| Facility | | $18,048.80 | $34,379.30 | $41,512.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $31,043.85 / $50,321.09
| Facility | | $6,916.00 | $31,043.85 | $50,321.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,742.00 / $27,942.46 / $33,978.78
| Facility | | $23,742.00 | $27,942.46 | $33,978.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,263.22 / $24,205.38 / $32,718.40
| Facility | | $15,263.22 | $24,205.38 | $32,718.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,198.23 / $29,168.20 / $44,305.40
| Facility | | $17,198.23 | $29,168.20 | $44,305.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,082.82 / $25,530.55 / $34,047.19
| Facility | | $19,082.82 | $25,530.55 | $34,047.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,670.00 / $32,089.23 / $39,129.69
| Facility | | $18,670.00 | $32,089.23 | $39,129.69 |