- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,808.90 / $36,379.69 / $64,064.70
| Facility | | $22,808.90 | $36,379.69 | $64,064.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,555.00 / $29,723.73 / $43,209.78
| Facility | | $12,555.00 | $29,723.73 | $43,209.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,090.53 / $28,287.16 / $47,387.61
| Facility | | $21,090.53 | $28,287.16 | $47,387.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,190.10 / $24,164.25 / $29,077.61
| Facility | | $16,190.10 | $24,164.25 | $29,077.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,256.20 / $26,962.87 / $40,438.33
| Facility | | $8,256.20 | $26,962.87 | $40,438.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,433.11 / $28,913.26 / $39,341.65
| Facility | | $20,433.11 | $28,913.26 | $39,341.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,786.88 / $59,360.45
| Facility | | $3,775.00 | $22,786.88 | $59,360.45 |