- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,270.50 / $41,900.90 / $73,787.60
| Facility | | $26,270.50 | $41,900.90 | $73,787.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,959.80 / $34,292.74 / $49,851.81
| Facility | | $11,959.80 | $34,292.74 | $49,851.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,291.38 / $32,580.22 / $54,579.47
| Facility | | $24,291.38 | $32,580.22 | $54,579.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,092.18 / $27,868.50 / $34,251.19
| Facility | | $19,092.18 | $27,868.50 | $34,251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,633.39 / $30,861.50 / $46,654.34
| Facility | | $9,633.39 | $30,861.50 | $46,654.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,574.01 / $33,128.10 / $44,995.71
| Facility | | $23,574.01 | $33,128.10 | $44,995.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,245.17 / $71,710.31
| Facility | | $3,775.00 | $26,245.17 | $71,710.31 |