- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,713.80 / $31,443.00 / $55,371.20
| Facility | | $19,713.80 | $31,443.00 | $55,371.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,447.37 / $26,256.06 / $38,168.79
| Facility | | $11,447.37 | $26,256.06 | $38,168.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,228.58 / $24,448.64 / $40,957.19
| Facility | | $18,228.58 | $24,448.64 | $40,957.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,448.40 / $19,755.45 / $24,126.29
| Facility | | $13,448.40 | $19,755.45 | $24,126.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $23,819.86 / $35,720.66
| Facility | | $6,746.00 | $23,819.86 | $35,720.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,049.32 / $25,540.15 / $34,751.93
| Facility | | $18,049.32 | $25,540.15 | $34,751.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $19,694.74 / $51,305.34
| Facility | | $3,775.00 | $19,694.74 | $51,305.34 |