- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,763.69 / $40,729.40 / $68,403.00
| Facility | | $26,763.69 | $40,729.40 | $68,403.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.00 / $23,928.80 / $37,185.54
| Facility | | $4,083.00 | $23,928.80 | $37,185.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,527.66 / $35,353.69 / $61,730.04
| Facility | | $16,527.66 | $35,353.69 | $61,730.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,803.00 / $41,737.51 / $62,400.94
| Facility | | $22,803.00 | $41,737.51 | $62,400.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,024.00 / $42,640.98 / $66,281.19
| Facility | | $16,024.00 | $42,640.98 | $66,281.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,261.00 / $41,688.67 / $58,463.91
| Facility | | $15,261.00 | $41,688.67 | $58,463.91 |