- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,172.00 / $33,768.90 / $59,467.10
| Facility | | $21,172.00 | $33,768.90 | $59,467.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,833.32 / $28,093.74 / $40,840.24
| Facility | | $11,833.32 | $28,093.74 | $40,840.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,576.99 / $26,257.16 / $43,986.87
| Facility | | $19,576.99 | $26,257.16 | $43,986.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,066.36 / $23,467.95 / $28,822.87
| Facility | | $16,066.36 | $23,467.95 | $28,822.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,729.55 / $25,377.47 / $38,220.76
| Facility | | $7,729.55 | $25,377.47 | $38,220.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,312.59 / $27,327.72 / $37,176.26
| Facility | | $19,312.59 | $27,327.72 | $37,176.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,151.60 / $57,793.01
| Facility | | $3,775.00 | $21,151.60 | $57,793.01 |