- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,854.30 / $41,237.10 / $72,618.60
| Facility | | $25,854.30 | $41,237.10 | $72,618.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,038.60 / $36,951.24 / $54,076.68
| Facility | | $13,038.60 | $36,951.24 | $54,076.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,906.53 / $32,064.05 / $53,714.77
| Facility | | $23,906.53 | $32,064.05 | $53,714.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,888.25 / $27,713.40 / $34,258.19
| Facility | | $18,888.25 | $27,713.40 | $34,258.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,666.60 / $32,390.24 / $51,072.33
| Facility | | $9,666.60 | $32,390.24 | $51,072.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,806.38 / $36,147.90 / $49,145.04
| Facility | | $25,806.38 | $36,147.90 | $49,145.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,829.37 / $67,286.22
| Facility | | $3,775.00 | $25,829.37 | $67,286.22 |