- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,858.30 / $33,268.60 / $58,586.00
| Facility | | $20,858.30 | $33,268.60 | $58,586.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,330.94 / $24,665.93 / $36,520.41
| Facility | | $8,330.94 | $24,665.93 | $36,520.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,286.91 / $25,868.11 / $43,335.12
| Facility | | $19,286.91 | $25,868.11 | $43,335.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,281.34 / $20,819.04 / $25,620.56
| Facility | | $14,281.34 | $20,819.04 | $25,620.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $22,775.98 / $33,557.33
| Facility | | $6,409.00 | $22,775.98 | $33,557.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,956.21 / $24,317.71 / $33,072.08
| Facility | | $16,956.21 | $24,317.71 | $33,072.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,838.20 / $56,936.70
| Facility | | $3,775.00 | $20,838.20 | $56,936.70 |