- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,953.09 / $33,419.69 / $58,852.10
| Facility | | $20,953.09 | $33,419.69 | $58,852.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,106.06 / $30,682.42 / $44,603.45
| Facility | | $11,106.06 | $30,682.42 | $44,603.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,374.50 / $25,985.59 / $43,531.94
| Facility | | $19,374.50 | $25,985.59 | $43,531.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,806.28 / $24,479.40 / $28,356.30
| Facility | | $15,806.28 | $24,479.40 | $28,356.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,014.74 / $27,762.98 / $41,742.60
| Facility | | $7,014.74 | $27,762.98 | $41,742.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,092.15 / $29,845.82 / $40,610.55
| Facility | | $21,092.15 | $29,845.82 | $40,610.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,932.84 / $57,195.29
| Facility | | $3,775.00 | $20,932.84 | $57,195.29 |