- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,861.70 / $36,463.90 / $64,213.00
| Facility | | $22,861.70 | $36,463.90 | $64,213.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,342.03 / $31,339.50 / $45,933.08
| Facility | | $12,342.03 | $31,339.50 | $45,933.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,139.36 / $28,352.65 / $47,497.31
| Facility | | $21,139.36 | $28,352.65 | $47,497.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,941.48 / $24,385.35 / $28,834.69
| Facility | | $15,941.48 | $24,385.35 | $28,834.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,703.34 / $27,677.11 / $42,986.95
| Facility | | $7,703.34 | $27,677.11 | $42,986.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,720.91 / $30,425.24 / $41,364.76
| Facility | | $21,720.91 | $30,425.24 | $41,364.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,839.63 / $59,497.87
| Facility | | $3,775.00 | $22,839.63 | $59,497.87 |