- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,671.90 / $31,185.80 / $50,411.30
| Facility | | $13,671.90 | $31,185.80 | $50,411.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,782.00 / $47,195.48 / $60,665.99
| Facility | | $30,782.00 | $47,195.48 | $60,665.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,230.04 / $41,797.82 / $61,356.85
| Facility | | $29,230.04 | $41,797.82 | $61,356.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,509.14 / $41,330.33 / $86,671.03
| Facility | | $21,509.14 | $41,330.33 | $86,671.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,272.41 / $15,272.41 / $16,993.95
| Facility | | $15,272.41 | $15,272.41 | $16,993.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,230.04 / $45,507.80 / $61,695.11
| Facility | | $29,230.04 | $45,507.80 | $61,695.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,468.35 / $37,500.06 / $57,859.78
| Facility | | $8,468.35 | $37,500.06 | $57,859.78 |