- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,632.59 / $26,528.70 / $46,717.00
| Facility | | $16,632.59 | $26,528.70 | $46,717.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,827.31 / $23,098.88 / $33,579.15
| Facility | | $9,827.31 | $23,098.88 | $33,579.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,379.56 / $20,627.46 / $34,555.82
| Facility | | $15,379.56 | $20,627.46 | $34,555.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,245.61 / $19,041.70 / $23,762.48
| Facility | | $13,245.61 | $19,041.70 | $23,762.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,830.64 / $20,681.91 / $31,425.39
| Facility | | $6,830.64 | $20,681.91 | $31,425.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,878.96 / $22,242.22 / $30,239.51
| Facility | | $15,878.96 | $22,242.22 | $30,239.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,616.57 / $43,286.61
| Facility | | $3,775.00 | $16,616.57 | $43,286.61 |