- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,983.40 / $43,037.90 / $75,789.80
| Facility | | $26,983.40 | $43,037.90 | $75,789.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,791.00 / $35,026.12 / $50,929.36
| Facility | | $17,791.00 | $35,026.12 | $50,929.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,950.50 / $33,464.25 / $56,060.44
| Facility | | $24,950.50 | $33,464.25 | $56,060.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,317.00 / $31,453.21 / $38,707.29
| Facility | | $21,317.00 | $31,453.21 | $38,707.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,319.66 / $30,504.99 / $48,548.60
| Facility | | $10,319.66 | $30,504.99 | $48,548.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,654.14 / $34,487.86 / $46,769.86
| Facility | | $24,654.14 | $34,487.86 | $46,769.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,957.31 / $73,656.10
| Facility | | $3,775.00 | $26,957.31 | $73,656.10 |