- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,442.30 / $34,199.90 / $60,226.10
| Facility | | $21,442.30 | $34,199.90 | $60,226.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,217.66 / $27,642.41 / $39,316.62
| Facility | | $11,217.66 | $27,642.41 | $39,316.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,826.84 / $26,592.28 / $44,548.29
| Facility | | $19,826.84 | $26,592.28 | $44,548.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,409.87 / $22,314.20 / $27,645.13
| Facility | | $15,409.87 | $22,314.20 | $27,645.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,068.61 / $23,688.30 / $38,861.57
| Facility | | $8,068.61 | $23,688.30 | $38,861.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,163.43 / $27,642.41 / $37,898.21
| Facility | | $20,163.43 | $27,642.41 | $37,898.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,421.56 / $55,803.75
| Facility | | $3,775.00 | $21,421.56 | $55,803.75 |