- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,787.60 / $41,130.60 / $72,431.00
| Facility | | $25,787.60 | $41,130.60 | $72,431.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,743.54 / $32,817.75 / $47,481.00
| Facility | | $13,743.54 | $32,817.75 | $47,481.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,844.78 / $31,981.23 / $53,576.03
| Facility | | $23,844.78 | $31,981.23 | $53,576.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,823.20 / $28,559.85 / $34,670.49
| Facility | | $18,823.20 | $28,559.85 | $34,670.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,031.87 / $29,897.63 / $43,373.83
| Facility | | $10,031.87 | $29,897.63 | $43,373.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,769.94 / $32,267.70 / $44,561.88
| Facility | | $21,769.94 | $32,267.70 | $44,561.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,649.31 / $37,226.75 / $59,807.89
| Facility | | $13,649.31 | $37,226.75 | $59,807.89 |