- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,844.60 / $36,436.69 / $64,165.00
| Facility | | $22,844.60 | $36,436.69 | $64,165.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,165.83 / $29,834.91 / $43,371.41
| Facility | | $10,165.83 | $29,834.91 | $43,371.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,123.56 / $28,331.46 / $47,461.82
| Facility | | $21,123.56 | $28,331.46 | $47,461.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,345.92 / $22,326.50 / $29,324.39
| Facility | | $16,345.92 | $22,326.50 | $29,324.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $26,438.28 / $40,589.58
| Facility | | $6,600.00 | $26,438.28 | $40,589.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,509.55 / $28,728.44 / $39,057.87
| Facility | | $20,509.55 | $28,728.44 | $39,057.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,822.57 / $62,358.63
| Facility | | $3,775.00 | $22,822.57 | $62,358.63 |