- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,368.00 / $37,271.40 / $65,635.00
| Facility | | $23,368.00 | $37,271.40 | $65,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,859.39 / $31,636.36 / $46,298.57
| Facility | | $11,859.39 | $31,636.36 | $46,298.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,607.49 / $28,980.52 / $48,549.15
| Facility | | $21,607.49 | $28,980.52 | $48,549.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,881.16 / $26,294.91 / $32,078.63
| Facility | | $17,881.16 | $26,294.91 | $32,078.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,825.06 / $27,742.31 / $43,968.72
| Facility | | $9,825.06 | $27,742.31 | $43,968.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,216.99 / $31,120.12 / $42,309.50
| Facility | | $22,216.99 | $31,120.12 | $42,309.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,345.42 / $63,787.24
| Facility | | $3,775.00 | $23,345.42 | $63,787.24 |