- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,368.40 / $42,057.00 / $74,062.39
| Facility | | $26,368.40 | $42,057.00 | $74,062.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,678.19 / $34,397.62 / $50,211.85
| Facility | | $14,678.19 | $34,397.62 | $50,211.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,381.84 / $32,701.55 / $54,782.74
| Facility | | $24,381.84 | $32,701.55 | $54,782.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,974.40 / $27,951.40 / $35,833.83
| Facility | | $19,974.40 | $27,951.40 | $35,833.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,305.41 / $31,314.66 / $46,797.04
| Facility | | $9,305.41 | $31,314.66 | $46,797.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,646.11 / $33,459.72 / $45,527.91
| Facility | | $23,646.11 | $33,459.72 | $45,527.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,342.92 / $71,977.38
| Facility | | $3,775.00 | $26,342.92 | $71,977.38 |