- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,473.00 / $48,603.70 / $85,591.20
| Facility | | $30,473.00 | $48,603.70 | $85,591.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,332.91 / $40,542.44 / $59,421.46
| Facility | | $15,332.91 | $40,542.44 | $59,421.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,177.19 / $37,791.97 / $63,310.38
| Facility | | $28,177.19 | $37,791.97 | $63,310.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,733.07 / $31,682.02 / $38,988.87
| Facility | | $21,733.07 | $31,682.02 | $38,988.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,198.76 / $35,847.78 / $55,610.19
| Facility | | $11,198.76 | $35,847.78 | $55,610.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,099.32 / $39,359.69 / $53,511.66
| Facility | | $28,099.32 | $39,359.69 | $53,511.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,443.53 / $79,306.24
| Facility | | $3,775.00 | $30,443.53 | $79,306.24 |