- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,746.40 / $28,823.00 / $47,465.30
| Facility | | $11,746.40 | $28,823.00 | $47,465.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,599.87 / $48,375.96 / $65,176.17
| Facility | | $32,599.87 | $48,375.96 | $65,176.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $38,091.51 / $60,904.31
| Facility | | $17,646.00 | $38,091.51 | $60,904.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,355.77 / $41,035.62 / $86,053.02
| Facility | | $21,355.77 | $41,035.62 | $86,053.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,919.14 / $15,919.14 / $16,396.08
| Facility | | $15,919.14 | $15,919.14 | $16,396.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $40,764.65 / $60,919.34
| Facility | | $17,648.00 | $40,764.65 | $60,919.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $27,275.77 / $52,394.41
| Facility | | $5,281.00 | $27,275.77 | $52,394.41 |