- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,883.70 / $39,689.00 / $69,892.30
| Facility | | $24,883.70 | $39,689.00 | $69,892.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,682.16 / $33,508.16 / $48,711.26
| Facility | | $13,682.16 | $33,508.16 | $48,711.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,009.03 / $30,860.30 / $51,698.21
| Facility | | $23,009.03 | $30,860.30 | $51,698.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,233.84 / $27,503.85 / $30,917.33
| Facility | | $17,233.84 | $27,503.85 | $30,917.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,601.66 / $29,683.45 / $45,586.94
| Facility | | $8,601.66 | $29,683.45 | $45,586.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,034.66 / $32,265.46 / $43,866.65
| Facility | | $23,034.66 | $32,265.46 | $43,866.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,599.21 / $14,924.71 / $35,921.96
| Facility | | $10,599.21 | $14,924.71 | $35,921.96 |