- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,544.80 / $34,363.40 / $60,514.00
| Facility | | $21,544.80 | $34,363.40 | $60,514.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,951.25 / $28,950.24 / $42,367.53
| Facility | | $8,951.25 | $28,950.24 | $42,367.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,921.63 / $26,719.40 / $44,761.23
| Facility | | $19,921.63 | $26,719.40 | $44,761.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,516.21 / $22,235.40 / $26,895.41
| Facility | | $14,516.21 | $22,235.40 | $26,895.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $25,376.42 / $40,095.85
| Facility | | $6,600.00 | $25,376.42 | $40,095.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,260.06 / $28,378.98 / $38,582.76
| Facility | | $20,260.06 | $28,378.98 | $38,582.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,523.96 / $58,810.42
| Facility | | $3,775.00 | $21,523.96 | $58,810.42 |