- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,831.20 / $42,795.10 / $75,362.30
| Facility | | $26,831.20 | $42,795.10 | $75,362.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,737.21 / $36,497.51 / $53,056.94
| Facility | | $16,737.21 | $36,497.51 | $53,056.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,809.77 / $33,275.50 / $55,744.24
| Facility | | $24,809.77 | $33,275.50 | $55,744.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,693.57 / $31,369.80 / $39,249.92
| Facility | | $21,693.57 | $31,369.80 | $39,249.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.14 / $32,740.47 / $49,653.89
| Facility | | $10,845.14 | $32,740.47 | $49,653.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,089.66 / $35,143.96 / $47,780.13
| Facility | | $25,089.66 | $35,143.96 | $47,780.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,805.27 / $73,240.66
| Facility | | $3,775.00 | $26,805.27 | $73,240.66 |