- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,148.00 / $43,300.40 / $76,252.10
| Facility | | $27,148.00 | $43,300.40 | $76,252.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,805.85 / $36,411.51 / $52,931.91
| Facility | | $13,805.85 | $36,411.51 | $52,931.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,102.72 / $33,668.41 / $56,402.45
| Facility | | $25,102.72 | $33,668.41 | $56,402.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,348.83 / $28,942.65 / $34,711.60
| Facility | | $19,348.83 | $28,942.65 | $34,711.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,206.95 / $33,058.12 / $49,536.88
| Facility | | $9,206.95 | $33,058.12 | $49,536.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,030.53 / $35,418.69 / $48,193.45
| Facility | | $25,030.53 | $35,418.69 | $48,193.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,121.77 / $74,105.46
| Facility | | $3,775.00 | $27,121.77 | $74,105.46 |