- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,945.30 / $31,492.10 / $54,143.70
| Facility | | $12,945.30 | $31,492.10 | $54,143.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,425.29 / $57,991.00 / $85,373.13
| Facility | | $38,425.29 | $57,991.00 | $85,373.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,394.20 / $44,892.48 / $65,899.64
| Facility | | $31,394.20 | $44,892.48 | $65,899.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,056.14 / $44,607.29 / $87,544.46
| Facility | | $25,056.14 | $44,607.29 | $87,544.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,028.88 / $17,028.88 / $17,028.88
| Facility | | $17,028.88 | $17,028.88 | $17,028.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,394.20 / $48,877.15 / $66,262.95
| Facility | | $31,394.20 | $48,877.15 | $66,262.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,095.34 / $40,276.51 / $70,857.62
| Facility | | $9,095.34 | $40,276.51 | $70,857.62 |