- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,237.40 / $35,468.19 / $62,459.50
| Facility | | $22,237.40 | $35,468.19 | $62,459.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,736.11 / $30,437.59 / $44,015.83
| Facility | | $11,736.11 | $30,437.59 | $44,015.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,562.08 / $27,578.39 / $46,200.25
| Facility | | $20,562.08 | $27,578.39 | $46,200.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,792.74 / $24,998.44 / $30,126.00
| Facility | | $16,792.74 | $24,998.44 | $30,126.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,908.68 / $26,363.76 / $41,957.85
| Facility | | $8,908.68 | $26,363.76 | $41,957.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,510.36 / $29,806.22 / $40,429.82
| Facility | | $21,510.36 | $29,806.22 | $40,429.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,215.93 / $57,873.10
| Facility | | $3,775.00 | $22,215.93 | $57,873.10 |