- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,209.60 / $37,018.80 / $65,190.10
| Facility | | $23,209.60 | $37,018.80 | $65,190.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,683.77 / $33,289.99 / $48,596.86
| Facility | | $14,683.77 | $33,289.99 | $48,596.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,461.02 / $28,784.07 / $48,220.04
| Facility | | $21,461.02 | $28,784.07 | $48,220.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,052.09 / $27,769.50 / $34,179.25
| Facility | | $19,052.09 | $27,769.50 | $34,179.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,498.20 / $29,107.81 / $45,290.13
| Facility | | $11,498.20 | $29,107.81 | $45,290.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,884.68 / $32,055.38 / $43,581.03
| Facility | | $22,884.68 | $32,055.38 | $43,581.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,187.17 / $63,354.84
| Facility | | $3,775.00 | $23,187.17 | $63,354.84 |