- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,322.10 / $45,173.00 / $79,549.80
| Facility | | $28,322.10 | $45,173.00 | $79,549.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,149.95 / $37,929.42 / $53,992.71
| Facility | | $14,149.95 | $37,929.42 | $53,992.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,188.33 / $35,124.46 / $58,841.68
| Facility | | $26,188.33 | $35,124.46 | $58,841.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,548.61 / $31,349.70 / $38,657.96
| Facility | | $21,548.61 | $31,349.70 | $38,657.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,184.78 / $32,371.06 / $51,997.02
| Facility | | $11,184.78 | $32,371.06 | $51,997.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,978.81 / $36,985.72 / $50,708.03
| Facility | | $26,978.81 | $36,985.72 | $50,708.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,294.71 / $77,310.28
| Facility | | $3,775.00 | $28,294.71 | $77,310.28 |