- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,934.70 / $36,580.30 / $64,418.00
| Facility | | $22,934.70 | $36,580.30 | $64,418.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,877.03 / $30,491.52 / $44,325.94
| Facility | | $11,877.03 | $30,491.52 | $44,325.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,206.85 / $28,443.17 / $47,648.95
| Facility | | $21,206.85 | $28,443.17 | $47,648.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,460.70 / $25,453.85 / $31,324.30
| Facility | | $17,460.70 | $25,453.85 | $31,324.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,420.17 / $27,384.63 / $41,482.89
| Facility | | $9,420.17 | $27,384.63 | $41,482.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,960.91 / $29,362.63 / $39,917.47
| Facility | | $20,960.91 | $29,362.63 | $39,917.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,912.55 / $59,687.83
| Facility | | $3,775.00 | $22,912.55 | $59,687.83 |