- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,972.10 / $38,235.00 / $67,331.80
| Facility | | $23,972.10 | $38,235.00 | $67,331.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,730.27 / $32,765.54 / $47,631.70
| Facility | | $14,730.27 | $32,765.54 | $47,631.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,166.10 / $29,729.74 / $49,804.25
| Facility | | $22,166.10 | $29,729.74 | $49,804.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,761.81 / $25,139.40 / $30,448.80
| Facility | | $16,761.81 | $25,139.40 | $30,448.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,654.09 / $29,232.63 / $44,576.63
| Facility | | $8,654.09 | $29,232.63 | $44,576.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,524.16 / $31,550.38 / $42,894.46
| Facility | | $22,524.16 | $31,550.38 | $42,894.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,948.95 / $62,387.68
| Facility | | $3,775.00 | $23,948.95 | $62,387.68 |