- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,867.50 / $30,224.40 / $36,495.30
| Facility | | $15,867.50 | $30,224.40 | $36,495.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,292.10 / $46,847.21
| Facility | | $6,916.00 | $27,292.10 | $46,847.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,381.40 / $25,421.62 / $30,131.90
| Facility | | $20,381.40 | $25,421.62 | $30,131.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,448.40 / $20,298.00 / $28,392.87
| Facility | | $13,448.40 | $20,298.00 | $28,392.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,151.87 / $26,850.35 / $41,897.97
| Facility | | $16,151.87 | $26,850.35 | $41,897.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,910.34 / $24,205.94 / $30,106.77
| Facility | | $17,910.34 | $24,205.94 | $30,106.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,885.32 / $35,847.86
| Facility | | $3,775.00 | $24,885.32 | $35,847.86 |