- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,256.30 / $38,688.30 / $68,130.10
| Facility | | $24,256.30 | $38,688.30 | $68,130.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,557.11 / $33,631.93 / $48,891.19
| Facility | | $11,557.11 | $33,631.93 | $48,891.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,428.88 / $30,082.19 / $50,394.70
| Facility | | $22,428.88 | $30,082.19 | $50,394.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,074.59 / $26,320.80 / $30,691.66
| Facility | | $17,074.59 | $26,320.80 | $30,691.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,581.00 / $30,342.95 / $45,755.33
| Facility | | $7,581.00 | $30,342.95 | $45,755.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,119.75 / $32,714.90 / $44,453.07
| Facility | | $23,119.75 | $32,714.90 | $44,453.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,232.88 / $63,127.31
| Facility | | $3,775.00 | $24,232.88 | $63,127.31 |