- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,092.90 / $52,782.40 / $92,949.90
| Facility | | $33,092.90 | $52,782.40 | $92,949.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,744.76 / $47,443.97 / $69,457.69
| Facility | | $23,744.76 | $47,443.97 | $69,457.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,599.72 / $41,041.12 / $68,753.49
| Facility | | $30,599.72 | $41,041.12 | $68,753.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,399.39 / $41,735.10 / $53,623.33
| Facility | | $28,399.39 | $41,735.10 | $53,623.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,563.97 / $41,965.55 / $65,002.70
| Facility | | $15,563.97 | $41,965.55 | $65,002.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,845.26 / $46,007.52 / $62,549.73
| Facility | | $32,845.26 | $46,007.52 | $62,549.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,060.91 / $90,333.11
| Facility | | $3,775.00 | $33,060.91 | $90,333.11 |