- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,081.30 / $47,774.80 / $57,686.90
| Facility | | $25,081.30 | $47,774.80 | $57,686.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $43,139.75 / $69,231.89
| Facility | | $12,397.00 | $43,139.75 | $69,231.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,432.80 / $38,443.31 / $43,546.84
| Facility | | $28,432.80 | $38,443.31 | $43,546.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,122.18 / $31,478.90 / $41,620.21
| Facility | | $20,122.18 | $31,478.90 | $41,620.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,600.72 / $39,664.80 / $61,416.91
| Facility | | $23,600.72 | $39,664.80 | $61,416.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,254.20 / $35,795.18 / $46,779.91
| Facility | | $26,254.20 | $35,795.18 | $46,779.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $42,150.55 / $60,646.46
| Facility | | $3,775.00 | $42,150.55 | $60,646.46 |