- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,199.00 / $40,191.80 / $70,777.80
| Facility | | $25,199.00 | $40,191.80 | $70,777.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,540.12 / $33,562.69 / $48,790.55
| Facility | | $12,540.12 | $33,562.69 | $48,790.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,300.54 / $31,251.28 / $52,353.19
| Facility | | $23,300.54 | $31,251.28 | $52,353.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,962.52 / $27,640.80 / $32,375.81
| Facility | | $17,962.52 | $27,640.80 | $32,375.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,296.67 / $30,013.18 / $45,661.15
| Facility | | $9,296.67 | $30,013.18 | $45,661.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,072.16 / $32,317.98 / $43,938.05
| Facility | | $23,072.16 | $32,317.98 | $43,938.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,174.64 / $68,785.25
| Facility | | $3,775.00 | $25,174.64 | $68,785.25 |