- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,824.80 / $41,190.00 / $72,535.70
| Facility | | $25,824.80 | $41,190.00 | $72,535.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,144.33 / $29,144.33 / $29,144.33
| Facility | | $29,144.33 | $29,144.33 | $29,144.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,889.55 / $33,767.68 / $49,491.96
| Facility | | $13,889.55 | $33,767.68 | $49,491.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,879.24 / $32,027.45 / $53,653.47
| Facility | | $23,879.24 | $32,027.45 | $53,653.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,465.70 / $28,376.70 / $34,921.25
| Facility | | $19,465.70 | $28,376.70 | $34,921.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,870.23 / $29,720.71 / $46,317.57
| Facility | | $8,870.23 | $29,720.71 | $46,317.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,403.84 / $32,782.58 / $44,569.70
| Facility | | $23,403.84 | $32,782.58 | $44,569.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,799.89 / $70,493.66
| Facility | | $3,775.00 | $25,799.89 | $70,493.66 |