- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,911.70 / $39,733.60 / $69,970.80
| Facility | | $24,911.70 | $39,733.60 | $69,970.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,416.14 / $23,591.84 / $31,708.56
| Facility | | $10,416.14 | $23,591.84 | $31,708.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,466.11 / $33,281.60 / $48,667.19
| Facility | | $12,466.11 | $33,281.60 | $48,667.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,034.88 / $30,894.97 / $51,756.29
| Facility | | $23,034.88 | $30,894.97 | $51,756.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,994.81 / $27,317.30 / $34,076.48
| Facility | | $18,994.81 | $27,317.30 | $34,076.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,154.79 / $30,351.34 / $45,278.71
| Facility | | $10,154.79 | $30,351.34 | $45,278.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,878.92 / $32,401.24 / $44,065.68
| Facility | | $22,878.92 | $32,401.24 | $44,065.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,887.61 / $64,832.91
| Facility | | $3,775.00 | $24,887.61 | $64,832.91 |