- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,368.80 / $40,703.19 / $49,148.10
| Facility | | $21,368.80 | $40,703.19 | $49,148.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $36,754.25 / $64,853.85
| Facility | | $6,916.00 | $36,754.25 | $64,853.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,487.38 / $33,473.80 / $39,231.01
| Facility | | $29,487.38 | $33,473.80 | $39,231.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,766.81 / $29,542.60 / $40,748.24
| Facility | | $18,766.81 | $29,542.60 | $40,748.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,106.11 / $37,994.58 / $57,884.65
| Facility | | $23,106.11 | $37,994.58 | $57,884.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,704.16 / $34,389.12 / $42,730.51
| Facility | | $25,704.16 | $34,389.12 | $42,730.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,513.04 / $48,276.28
| Facility | | $3,775.00 | $33,513.04 | $48,276.28 |