- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,712.80 / $37,821.30 / $66,603.39
| Facility | | $23,712.80 | $37,821.30 | $66,603.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,558.72 / $30,911.08 / $44,935.86
| Facility | | $12,558.72 | $30,911.08 | $44,935.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,926.28 / $29,408.09 / $49,265.43
| Facility | | $21,926.28 | $29,408.09 | $49,265.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,065.01 / $22,576.95 / $28,208.68
| Facility | | $15,065.01 | $22,576.95 | $28,208.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,687.02 / $27,818.21 / $42,053.69
| Facility | | $7,687.02 | $27,818.21 | $42,053.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,249.34 / $29,945.93 / $40,673.58
| Facility | | $21,249.34 | $29,945.93 | $40,673.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,689.85 / $61,712.72
| Facility | | $3,775.00 | $23,689.85 | $61,712.72 |