- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,094.40 / $52,784.90 / $92,954.20
| Facility | | $33,094.40 | $52,784.90 | $92,954.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,561.01 / $44,975.74 / $65,682.28
| Facility | | $14,561.01 | $44,975.74 | $65,682.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,601.16 / $41,043.06 / $68,756.72
| Facility | | $30,601.16 | $41,043.06 | $68,756.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,376.23 / $36,572.25 / $44,584.77
| Facility | | $24,376.23 | $36,572.25 | $44,584.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,523.25 / $39,782.23 / $61,469.45
| Facility | | $11,523.25 | $39,782.23 | $61,469.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,059.95 / $43,506.76 / $59,149.81
| Facility | | $31,059.95 | $43,506.76 | $59,149.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,062.47 / $90,337.35
| Facility | | $3,775.00 | $33,062.47 | $90,337.35 |