- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,078.50 / $47,974.50 / $84,483.20
| Facility | | $30,078.50 | $47,974.50 | $84,483.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,783.78 / $41,588.89 / $60,458.32
| Facility | | $10,783.78 | $41,588.89 | $60,458.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,812.45 / $37,302.76 / $62,490.85
| Facility | | $27,812.45 | $37,302.76 | $62,490.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,910.47 / $30,960.60 / $37,952.98
| Facility | | $18,910.47 | $30,960.60 | $37,952.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,846.34 / $36,982.29 / $56,580.55
| Facility | | $8,846.34 | $36,982.29 | $56,580.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,589.63 / $40,046.50 / $54,445.40
| Facility | | $28,589.63 | $40,046.50 | $54,445.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,049.45 / $78,279.64
| Facility | | $3,775.00 | $30,049.45 | $78,279.64 |