- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,508.20 / $42,279.90 / $74,455.00
| Facility | | $26,508.20 | $42,279.90 | $74,455.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,732.38 / $31,124.06 / $46,286.00
| Facility | | $13,732.38 | $31,124.06 | $46,286.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,511.08 / $32,874.89 / $55,073.13
| Facility | | $24,511.08 | $32,874.89 | $55,073.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,425.43 / $27,849.25 / $34,832.86
| Facility | | $18,425.43 | $27,849.25 | $34,832.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,422.78 / $29,118.08 / $42,173.56
| Facility | | $10,422.78 | $29,118.08 | $42,173.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,309.91 / $31,105.14 / $42,328.72
| Facility | | $21,309.91 | $31,105.14 | $42,328.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,482.55 / $68,987.78
| Facility | | $3,775.00 | $26,482.55 | $68,987.78 |