- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,924.20 / $36,367.19 / $66,876.00
| Facility | | $22,924.20 | $36,367.19 | $66,876.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,902.15 / $26,911.46 / $44,912.83
| Facility | | $18,902.15 | $26,911.46 | $44,912.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,632.62 / $31,393.74 / $54,440.00
| Facility | | $17,632.62 | $31,393.74 | $54,440.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,680.16 / $37,099.19 / $57,078.00
| Facility | | $28,680.16 | $37,099.19 | $57,078.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,466.88 / $38,902.60 / $62,362.52
| Facility | | $19,466.88 | $38,902.60 | $62,362.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,722.46 / $38,074.08 / $52,202.37
| Facility | | $18,722.46 | $38,074.08 | $52,202.37 |