- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,221.30 / $30,898.20 / $37,308.90
| Facility | | $16,221.30 | $30,898.20 | $37,308.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,900.55 / $50,659.71
| Facility | | $6,916.00 | $27,900.55 | $50,659.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,838.59 / $25,988.38 / $30,691.54
| Facility | | $20,838.59 | $25,988.38 | $30,691.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,890.86 / $22,513.10 / $31,829.94
| Facility | | $14,890.86 | $22,513.10 | $31,829.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,086.77 / $29,738.10 / $46,969.89
| Facility | | $18,086.77 | $29,738.10 | $46,969.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,078.46 / $26,906.45 / $32,194.62
| Facility | | $20,078.46 | $26,906.45 | $32,194.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,440.11 / $36,647.05
| Facility | | $3,775.00 | $25,440.11 | $36,647.05 |