- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,657.00 / $39,327.30 / $69,255.50
| Facility | | $24,657.00 | $39,327.30 | $69,255.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,471.73 / $32,666.17 / $47,732.34
| Facility | | $14,471.73 | $32,666.17 | $47,732.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,799.37 / $30,579.10 / $51,227.14
| Facility | | $22,799.37 | $30,579.10 | $51,227.14 |
- 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
- $8,810.21 / $28,893.58 / $44,670.81
| Facility | | $8,810.21 | $28,893.58 | $44,670.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,571.75 / $31,617.04 / $42,985.09
| Facility | | $22,571.75 | $31,617.04 | $42,985.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,633.17 / $67,305.78
| Facility | | $3,775.00 | $24,633.17 | $67,305.78 |