- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,079.80 / $44,786.60 / $78,869.30
| Facility | | $28,079.80 | $44,786.60 | $78,869.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,361.86 / $36,456.73 / $51,893.46
| Facility | | $16,361.86 | $36,456.73 | $51,893.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,964.32 / $34,824.01 / $58,338.35
| Facility | | $25,964.32 | $34,824.01 | $58,338.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,463.45 / $30,810.45 / $35,048.83
| Facility | | $17,463.45 | $30,810.45 | $35,048.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,625.54 / $31,114.19 / $50,885.26
| Facility | | $8,625.54 | $31,114.19 | $50,885.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,401.97 / $36,194.92 / $49,623.83
| Facility | | $26,401.97 | $36,194.92 | $49,623.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,052.67 / $76,648.98
| Facility | | $3,775.00 | $28,052.67 | $76,648.98 |