- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,677.00 / $47,464.60 / $80,460.30
| Facility | | $17,677.00 | $47,464.60 | $80,460.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,594.13 / $28,201.26 / $40,114.57
| Facility | | $20,594.13 | $28,201.26 | $40,114.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,085.53 / $41,251.96 / $60,461.37
| Facility | | $15,085.53 | $41,251.96 | $60,461.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,894.30 / $37,412.55 / $62,674.76
| Facility | | $27,894.30 | $37,412.55 | $62,674.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,887.53 / $30,891.30 / $37,954.89
| Facility | | $20,887.53 | $30,891.30 | $37,954.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,793.29 / $36,282.93 / $56,583.40
| Facility | | $10,793.29 | $36,282.93 | $56,583.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,591.07 / $40,048.51 / $54,448.14
| Facility | | $28,591.07 | $40,048.51 | $54,448.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,137.89 / $78,510.02
| Facility | | $3,775.00 | $30,137.89 | $78,510.02 |