- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,868.70 / $46,045.00 / $81,085.20
| Facility | | $28,868.70 | $46,045.00 | $81,085.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,232.97 / $38,036.78 / $55,227.38
| Facility | | $13,232.97 | $38,036.78 | $55,227.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,693.80 / $35,802.41 / $59,977.41
| Facility | | $26,693.80 | $35,802.41 | $59,977.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,244.78 / $29,856.75 / $36,318.92
| Facility | | $20,244.78 | $29,856.75 | $36,318.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,101.78 / $33,079.51 / $52,645.95
| Facility | | $10,101.78 | $33,079.51 | $52,645.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,880.74 / $37,398.35 / $50,716.85
| Facility | | $26,880.74 | $37,398.35 | $50,716.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,840.83 / $78,802.49
| Facility | | $3,775.00 | $28,840.83 | $78,802.49 |