- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,476.00 / $29,468.90 / $51,894.70
| Facility | | $18,476.00 | $29,468.90 | $51,894.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,004.61 / $22,929.83 / $32,716.11
| Facility | | $10,004.61 | $22,929.83 | $32,716.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,084.09 / $22,913.62 / $38,385.67
| Facility | | $17,084.09 | $22,913.62 | $38,385.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,354.45 / $18,868.30 / $23,957.74
| Facility | | $13,354.45 | $18,868.30 | $23,957.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,491.05 / $20,098.83 / $30,617.71
| Facility | | $6,491.05 | $20,098.83 | $30,617.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,470.85 / $21,670.56 / $29,462.31
| Facility | | $15,470.85 | $21,670.56 | $29,462.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,458.20 / $48,084.10
| Facility | | $3,775.00 | $18,458.20 | $48,084.10 |