- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,573.10 / $39,193.60 / $69,019.89
| Facility | | $24,573.10 | $39,193.60 | $69,019.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,213.42 / $32,870.43 / $48,169.11
| Facility | | $13,213.42 | $32,870.43 | $48,169.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,721.83 / $30,475.10 / $51,052.91
| Facility | | $22,721.83 | $30,475.10 | $51,052.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,944.40 / $27,579.10 / $33,986.04
| Facility | | $18,944.40 | $27,579.10 | $33,986.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,470.54 / $30,040.70 / $44,719.33
| Facility | | $10,470.54 | $30,040.70 | $44,719.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,596.26 / $32,073.55 / $43,620.03
| Facility | | $22,596.26 | $32,073.55 | $43,620.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,549.38 / $63,951.82
| Facility | | $3,775.00 | $24,549.38 | $63,951.82 |