- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,435.40 / $45,353.90 / $79,868.20
| Facility | | $28,435.40 | $45,353.90 | $79,868.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,954.22 / $37,976.47 / $55,966.53
| Facility | | $11,954.22 | $37,976.47 | $55,966.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,293.16 / $35,265.06 / $59,077.22
| Facility | | $26,293.16 | $35,265.06 | $59,077.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,267.91 / $27,799.20 / $34,656.37
| Facility | | $17,267.91 | $27,799.20 | $34,656.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,118.13 / $34,903.57 / $51,665.96
| Facility | | $8,118.13 | $34,903.57 | $51,665.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,106.34 / $37,265.17 / $50,680.63
| Facility | | $26,106.34 | $37,265.17 | $50,680.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,407.97 / $74,003.53
| Facility | | $3,775.00 | $28,407.97 | $74,003.53 |