- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,837.10 / $39,614.69 / $69,761.50
| Facility | | $24,837.10 | $39,614.69 | $69,761.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,977.65 / $33,975.97 / $49,391.32
| Facility | | $14,977.65 | $33,975.97 | $49,391.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,965.95 / $30,802.52 / $51,601.41
| Facility | | $22,965.95 | $30,802.52 | $51,601.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,797.75 / $27,409.80 / $33,722.94
| Facility | | $18,797.75 | $27,409.80 | $33,722.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,649.12 / $30,668.92 / $46,223.38
| Facility | | $9,649.12 | $30,668.92 | $46,223.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,356.25 / $33,049.56 / $44,930.59
| Facility | | $23,356.25 | $33,049.56 | $44,930.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,813.14 / $64,638.91
| Facility | | $3,775.00 | $24,813.14 | $64,638.91 |