- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,759.30 / $37,895.60 / $66,734.20
| Facility | | $23,759.30 | $37,895.60 | $66,734.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,924.71 / $33,029.86 / $48,015.95
| Facility | | $10,924.71 | $33,029.86 | $48,015.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,969.36 / $29,465.87 / $49,362.22
| Facility | | $21,969.36 | $29,465.87 | $49,362.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,919.91 / $25,721.85 / $30,354.15
| Facility | | $16,919.91 | $25,721.85 | $30,354.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.08 / $29,567.95 / $44,936.23
| Facility | | $8,534.08 | $29,567.95 | $44,936.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,705.86 / $31,804.90 / $43,240.49
| Facility | | $22,705.86 | $31,804.90 | $43,240.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,736.40 / $61,833.97
| Facility | | $3,775.00 | $23,736.40 | $61,833.97 |