- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,628.50 / $32,902.00 / $57,940.40
| Facility | | $20,628.50 | $32,902.00 | $57,940.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,849.62 / $25,928.81 / $37,693.06
| Facility | | $9,849.62 | $25,928.81 | $37,693.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,074.39 / $25,583.06 / $42,857.60
| Facility | | $19,074.39 | $25,583.06 | $42,857.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,151.45 / $19,516.20 / $23,661.98
| Facility | | $12,151.45 | $19,516.20 | $23,661.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $23,462.40 / $35,275.44
| Facility | | $6,409.00 | $23,462.40 | $35,275.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,824.36 / $25,221.82 / $34,318.78
| Facility | | $17,824.36 | $25,221.82 | $34,318.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,608.57 / $56,309.29
| Facility | | $3,775.00 | $20,608.57 | $56,309.29 |