- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,411.30 / $33,164.90 / $40,045.90
| Facility | | $17,411.30 | $33,164.90 | $40,045.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $29,947.35 / $47,310.05
| Facility | | $12,397.00 | $29,947.35 | $47,310.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,461.20 / $26,956.72 / $32,488.70
| Facility | | $23,461.20 | $26,956.72 | $32,488.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,452.26 / $22,710.60 / $29,911.20
| Facility | | $15,452.26 | $22,710.60 | $29,911.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,180.44 / $29,454.90 / $42,993.90
| Facility | | $16,180.44 | $29,454.90 | $42,993.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,940.97 / $24,820.96 / $35,035.40
| Facility | | $17,940.97 | $24,820.96 | $35,035.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,096.39 / $42,100.40
| Facility | | $3,775.00 | $30,096.39 | $42,100.40 |