- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,111.30 / $32,077.10 / $56,487.90
| Facility | | $20,111.30 | $32,077.10 | $56,487.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,899.00 / $28,599.31 / $42,138.70
| Facility | | $12,899.00 | $28,599.31 | $42,138.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,596.20 / $24,941.70 / $41,783.18
| Facility | | $18,596.20 | $24,941.70 | $41,783.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,577.14 / $22,143.00 / $27,945.22
| Facility | | $15,577.14 | $22,143.00 | $27,945.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,796.55 / $26,279.84 / $38,908.58
| Facility | | $7,796.55 | $26,279.84 | $38,908.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,660.15 / $28,058.44 / $38,159.47
| Facility | | $19,660.15 | $28,058.44 | $38,159.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,091.93 / $52,340.02
| Facility | | $3,775.00 | $20,091.93 | $52,340.02 |