- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,448.90 / $38,995.40 / $68,671.00
| Facility | | $24,448.90 | $38,995.40 | $68,671.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,089.32 / $32,895.18 / $46,824.16
| Facility | | $11,089.32 | $32,895.18 | $46,824.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,606.95 / $30,321.02 / $50,794.79
| Facility | | $22,606.95 | $30,321.02 | $50,794.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,179.06 / $26,501.06 / $32,613.03
| Facility | | $18,179.06 | $26,501.06 | $32,613.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,227.07 / $28,074.56 / $45,054.07
| Facility | | $8,227.07 | $28,074.56 | $45,054.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,376.44 / $32,047.17 / $43,937.21
| Facility | | $23,376.44 | $32,047.17 | $43,937.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,425.26 / $66,737.73
| Facility | | $3,775.00 | $24,425.26 | $66,737.73 |