- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,548.50 / $42,344.30 / $74,568.39
| Facility | | $26,548.50 | $42,344.30 | $74,568.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,937.66 / $36,438.07 / $54,123.01
| Facility | | $14,937.66 | $36,438.07 | $54,123.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,548.42 / $32,924.97 / $55,157.02
| Facility | | $24,548.42 | $32,924.97 | $55,157.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,766.81 / $29,542.60 / $34,078.17
| Facility | | $18,766.81 | $29,542.60 | $34,078.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,336.87 / $34,048.26 / $49,314.27
| Facility | | $9,336.87 | $34,048.26 | $49,314.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,918.05 / $36,415.92 / $49,555.77
| Facility | | $24,918.05 | $36,415.92 | $49,555.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,522.89 / $69,092.86
| Facility | | $3,775.00 | $26,522.89 | $69,092.86 |