- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,299.70 / $37,162.40 / $65,443.10
| Facility | | $23,299.70 | $37,162.40 | $65,443.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,877.46 / $32,849.80 / $48,074.38
| Facility | | $13,877.46 | $32,849.80 | $48,074.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,544.31 / $28,895.78 / $48,407.18
| Facility | | $21,544.31 | $28,895.78 | $48,407.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,356.65 / $26,225.90 / $32,931.62
| Facility | | $18,356.65 | $26,225.90 | $32,931.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,551.83 / $28,794.85 / $45,718.23
| Facility | | $9,551.83 | $28,794.85 | $45,718.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,101.00 / $32,358.38 / $43,992.98
| Facility | | $23,101.00 | $32,358.38 | $43,992.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,277.15 / $63,600.72
| Facility | | $3,775.00 | $23,277.15 | $63,600.72 |