- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,129.50 / $44,865.90 / $79,008.89
| Facility | | $28,129.50 | $44,865.90 | $79,008.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,004.00 / $40,791.72 / $59,663.64
| Facility | | $17,004.00 | $40,791.72 | $59,663.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,010.27 / $34,885.64 / $58,441.59
| Facility | | $26,010.27 | $34,885.64 | $58,441.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,548.00 / $30,582.75 / $37,225.51
| Facility | | $18,548.00 | $30,582.75 | $37,225.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,215.42 / $37,209.28 / $55,496.03
| Facility | | $8,215.42 | $37,209.28 | $55,496.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,041.63 / $39,726.75 / $54,028.38
| Facility | | $28,041.63 | $39,726.75 | $54,028.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,102.32 / $73,207.31
| Facility | | $3,775.00 | $28,102.32 | $73,207.31 |