- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,472.20 / $39,032.60 / $68,736.39
| Facility | | $24,472.20 | $39,032.60 | $68,736.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,007.74 / $31,821.25 / $46,569.14
| Facility | | $14,007.74 | $31,821.25 | $46,569.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,628.49 / $30,349.91 / $50,843.19
| Facility | | $22,628.49 | $30,349.91 | $50,843.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,604.64 / $24,872.10 / $29,420.50
| Facility | | $15,604.64 | $24,872.10 | $29,420.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,957.34 / $27,895.06 / $43,860.27
| Facility | | $7,957.34 | $27,895.06 | $43,860.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,162.19 / $31,043.36 / $42,205.14
| Facility | | $22,162.19 | $31,043.36 | $42,205.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,448.54 / $63,689.11
| Facility | | $3,775.00 | $24,448.54 | $63,689.11 |