- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,631.70 / $34,502.10 / $60,758.30
| Facility | | $21,631.70 | $34,502.10 | $60,758.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,701.51 / $26,923.17 / $39,138.57
| Facility | | $10,701.51 | $26,923.17 | $39,138.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,002.04 / $26,827.25 / $44,941.92
| Facility | | $20,002.04 | $26,827.25 | $44,941.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,452.26 / $22,710.60 / $27,721.18
| Facility | | $15,452.26 | $22,710.60 | $27,721.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,640.42 / $24,001.60 / $36,628.24
| Facility | | $7,640.42 | $24,001.60 | $36,628.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,507.91 / $25,924.68 / $35,246.01
| Facility | | $18,507.91 | $25,924.68 | $35,246.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,610.84 / $59,047.82
| Facility | | $3,775.00 | $21,610.84 | $59,047.82 |