- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,153.30 / $32,144.00 / $56,605.70
| Facility | | $20,153.30 | $32,144.00 | $56,605.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,317.42 / $29,706.95 / $43,185.39
| Facility | | $10,317.42 | $29,706.95 | $43,185.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,634.97 / $24,993.70 / $41,870.29
| Facility | | $18,634.97 | $24,993.70 | $41,870.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,890.86 / $21,850.95 / $27,109.82
| Facility | | $14,890.86 | $21,850.95 | $27,109.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $26,734.55 / $40,415.49
| Facility | | $6,746.00 | $26,734.55 | $40,415.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,421.58 / $28,803.31 / $39,121.62
| Facility | | $20,421.58 | $28,803.31 | $39,121.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,133.82 / $52,449.14
| Facility | | $3,775.00 | $20,133.82 | $52,449.14 |