- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,323.10 / $38,794.80 / $68,317.60
| Facility | | $24,323.10 | $38,794.80 | $68,317.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,023.72 / $32,408.91 / $47,113.27
| Facility | | $13,023.72 | $32,408.91 | $47,113.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,490.63 / $30,165.01 / $50,533.44
| Facility | | $22,490.63 | $30,165.01 | $50,533.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,013.14 / $27,716.97 / $34,109.36
| Facility | | $19,013.14 | $27,716.97 | $34,109.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,863.82 / $29,265.03 / $44,091.45
| Facility | | $8,863.82 | $29,265.03 | $44,091.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,279.00 / $31,525.23 / $42,873.99
| Facility | | $22,279.00 | $31,525.23 | $42,873.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,874.16 / $34,230.87 / $49,247.59
| Facility | | $12,874.16 | $34,230.87 | $49,247.59 |