- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,669.80 / $44,132.70 / $77,717.80
| Facility | | $27,669.80 | $44,132.70 | $77,717.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,450.34 / $36,398.93 / $52,913.61
| Facility | | $14,450.34 | $36,398.93 | $52,913.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,585.21 / $34,315.54 / $57,486.55
| Facility | | $25,585.21 | $34,315.54 | $57,486.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,770.66 / $30,279.06 / $37,262.35
| Facility | | $20,770.66 | $30,279.06 | $37,262.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,910.70 / $32,587.71 / $49,519.75
| Facility | | $9,910.70 | $32,587.71 | $49,519.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,021.88 / $35,049.01 / $47,651.05
| Facility | | $25,021.88 | $35,049.01 | $47,651.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,643.08 / $75,529.83
| Facility | | $3,775.00 | $27,643.08 | $75,529.83 |