- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,533.70 / $36,653.80 / $60,619.00
| Facility | | $14,533.70 | $36,653.80 | $60,619.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,636.71 / $59,313.09 / $76,242.20
| Facility | | $38,636.71 | $59,313.09 | $76,242.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,819.68 / $51,878.67 / $76,363.38
| Facility | | $32,819.68 | $51,878.67 | $76,363.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,034.63 / $51,505.85 / $107,868.84
| Facility | | $29,034.63 | $51,505.85 | $107,868.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,521.40 / $20,078.83 / $20,533.62
| Facility | | $19,521.40 | $20,078.83 | $20,533.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,764.02 / $55,985.99 / $76,784.37
| Facility | | $30,764.02 | $55,985.99 | $76,784.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $46,671.74 / $71,240.23
| Facility | | $9,114.00 | $46,671.74 | $71,240.23 |