- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,460.00 / $42,203.10 / $74,319.80
| Facility | | $26,460.00 | $42,203.10 | $74,319.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,660.25 / $34,063.23 / $49,850.19
| Facility | | $14,660.25 | $34,063.23 | $49,850.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,466.57 / $32,815.19 / $54,973.11
| Facility | | $24,466.57 | $32,815.19 | $54,973.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,549.13 / $27,621.00 / $33,276.93
| Facility | | $18,549.13 | $27,621.00 | $33,276.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,947.43 / $29,858.56 / $46,817.02
| Facility | | $7,947.43 | $29,858.56 | $46,817.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,656.21 / $33,136.08 / $45,050.31
| Facility | | $23,656.21 | $33,136.08 | $45,050.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,434.46 / $72,227.49
| Facility | | $3,775.00 | $26,434.46 | $72,227.49 |