- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,621.30 / $43,089.00 / $52,028.90
| Facility | | $22,621.30 | $43,089.00 | $52,028.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $38,908.55 / $63,485.21
| Facility | | $6,916.00 | $38,908.55 | $63,485.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,640.68 / $35,208.64 / $41,608.62
| Facility | | $30,640.68 | $35,208.64 | $41,608.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,898.78 / $29,114.20 / $38,165.47
| Facility | | $19,898.78 | $29,114.20 | $38,165.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,653.40 / $37,824.76 / $57,556.36
| Facility | | $21,653.40 | $37,824.76 | $57,556.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,074.93 / $33,983.08 / $42,046.94
| Facility | | $24,074.93 | $33,983.08 | $42,046.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,477.36 / $51,105.93
| Facility | | $3,775.00 | $35,477.36 | $51,105.93 |