- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,846.30 / $37,803.10 / $45,646.40
| Facility | | $19,846.30 | $37,803.10 | $45,646.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $34,135.55 / $56,956.39
| Facility | | $12,397.00 | $34,135.55 | $56,956.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,476.06 / $31,579.98 / $36,088.66
| Facility | | $27,476.06 | $31,579.98 | $36,088.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,516.48 / $26,661.10 / $35,521.42
| Facility | | $19,516.48 | $26,661.10 | $35,521.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,443.83 / $34,293.54 / $52,434.20
| Facility | | $19,443.83 | $34,293.54 | $52,434.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,599.07 / $29,973.58 / $42,046.94
| Facility | | $21,599.07 | $29,973.58 | $42,046.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,352.81 / $47,988.23
| Facility | | $3,775.00 | $33,352.81 | $47,988.23 |