- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,070.50 / $44,771.80 / $78,843.10
| Facility | | $28,070.50 | $44,771.80 | $78,843.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,658.34 / $38,066.41 / $55,792.43
| Facility | | $19,658.34 | $38,066.41 | $55,792.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,955.70 / $34,812.44 / $58,318.99
| Facility | | $25,955.70 | $34,812.44 | $58,318.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,812.04 / $34,244.10 / $43,977.34
| Facility | | $22,812.04 | $34,244.10 | $43,977.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,588.19 / $33,619.76 / $52,213.93
| Facility | | $12,588.19 | $33,619.76 | $52,213.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,383.22 / $36,955.90 / $50,243.56
| Facility | | $26,383.22 | $36,955.90 | $50,243.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,043.36 / $76,623.53
| Facility | | $3,775.00 | $28,043.36 | $76,623.53 |