- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,914.80 / $39,738.50 / $69,979.60
| Facility | | $24,914.80 | $39,738.50 | $69,979.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,688.49 / $31,739.71 / $46,140.45
| Facility | | $10,688.49 | $31,739.71 | $46,140.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,037.75 / $30,898.82 / $51,762.74
| Facility | | $23,037.75 | $30,898.82 | $51,762.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,083.55 / $23,972.85 / $28,964.87
| Facility | | $16,083.55 | $23,972.85 | $28,964.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,581.58 / $28,624.21 / $43,181.02
| Facility | | $7,581.58 | $28,624.21 | $43,181.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,818.97 / $30,874.28 / $41,935.22
| Facility | | $21,818.97 | $30,874.28 | $41,935.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,890.71 / $64,840.99
| Facility | | $3,775.00 | $24,890.71 | $64,840.99 |