- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,666.00 / $36,151.80 / $63,663.40
| Facility | | $22,666.00 | $36,151.80 | $63,663.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,801.02 / $29,291.58 / $42,581.56
| Facility | | $10,801.02 | $29,291.58 | $42,581.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,958.41 / $28,109.97 / $47,090.77
| Facility | | $20,958.41 | $28,109.97 | $47,090.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,410.46 / $23,958.10 / $32,824.74
| Facility | | $17,410.46 | $23,958.10 | $32,824.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,832.08 / $26,102.95 / $39,850.40
| Facility | | $7,832.08 | $26,102.95 | $39,850.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,136.04 / $28,205.26 / $38,346.58
| Facility | | $20,136.04 | $28,205.26 | $38,346.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,644.14 / $61,871.12
| Facility | | $3,775.00 | $22,644.14 | $61,871.12 |