- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,722.20 / $39,431.40 / $69,438.70
| Facility | | $24,722.20 | $39,431.40 | $69,438.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,883.97 / $34,655.66 / $50,379.39
| Facility | | $13,883.97 | $34,655.66 | $50,379.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,859.68 / $30,659.99 / $51,362.65
| Facility | | $22,859.68 | $30,659.99 | $51,362.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,598.79 / $30,688.25 / $37,765.92
| Facility | | $20,598.79 | $30,688.25 | $37,765.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,940.10 / $31,108.57 / $47,148.08
| Facility | | $10,940.10 | $31,108.57 | $47,148.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,823.49 / $33,370.40 / $45,368.88
| Facility | | $23,823.49 | $33,370.40 | $45,368.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,698.33 / $64,339.82
| Facility | | $3,775.00 | $24,698.33 | $64,339.82 |