- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,805.80 / $36,374.69 / $64,056.00
| Facility | | $22,805.80 | $36,374.69 | $64,056.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,635.23 / $29,943.61 / $43,322.66
| Facility | | $11,635.23 | $29,943.61 | $43,322.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,087.66 / $28,283.31 / $47,381.15
| Facility | | $21,087.66 | $28,283.31 | $47,381.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,965.54 / $24,352.35 / $28,642.00
| Facility | | $15,965.54 | $24,352.35 | $28,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,341.56 / $27,055.16 / $39,207.69
| Facility | | $7,341.56 | $27,055.16 | $39,207.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,678.90 / $29,168.33 / $40,281.62
| Facility | | $19,678.90 | $29,168.33 | $40,281.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,783.78 / $62,252.65
| Facility | | $3,775.00 | $22,783.78 | $62,252.65 |