- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,312.30 / $40,372.60 / $71,096.20
| Facility | | $25,312.30 | $40,372.60 | $71,096.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,369.68 / $32,671.53 / $48,537.00
| Facility | | $13,369.68 | $32,671.53 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,405.36 / $31,391.87 / $52,588.72
| Facility | | $23,405.36 | $31,391.87 | $52,588.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,916.90 / $27,680.40 / $33,936.71
| Facility | | $18,916.90 | $27,680.40 | $33,936.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,077.93 / $28,302.07 / $45,729.47
| Facility | | $8,077.93 | $28,302.07 | $45,729.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,726.87 / $32,527.58 / $44,595.86
| Facility | | $23,726.87 | $32,527.58 | $44,595.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,287.90 / $69,094.72
| Facility | | $3,775.00 | $25,287.90 | $69,094.72 |