- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,792.10 / $39,542.80 / $69,635.00
| Facility | | $24,792.10 | $39,542.80 | $69,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,974.86 / $33,631.50 / $47,116.32
| Facility | | $14,974.86 | $33,631.50 | $47,116.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,924.30 / $30,746.66 / $51,507.85
| Facility | | $22,924.30 | $30,746.66 | $51,507.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,737.29 / $27,286.70 / $35,312.19
| Facility | | $14,737.29 | $27,286.70 | $35,312.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,807.66 / $29,320.25 / $44,390.94
| Facility | | $13,807.66 | $29,320.25 | $44,390.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,352.68 / $31,744.32 / $42,898.47
| Facility | | $23,352.68 | $31,744.32 | $42,898.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,768.15 / $67,674.59
| Facility | | $3,775.00 | $24,768.15 | $67,674.59 |