- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,028.70 / $46,300.10 / $81,534.50
| Facility | | $29,028.70 | $46,300.10 | $81,534.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,166.01 / $36,231.10 / $52,669.64
| Facility | | $13,166.01 | $36,231.10 | $52,669.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,841.71 / $36,000.79 / $60,309.74
| Facility | | $26,841.71 | $36,000.79 | $60,309.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,755.56 / $29,287.50 / $35,441.26
| Facility | | $19,755.56 | $29,287.50 | $35,441.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,398.62 / $32,605.92 / $49,291.43
| Facility | | $9,398.62 | $32,605.92 | $49,291.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,906.51 / $35,057.76 / $47,616.66
| Facility | | $24,906.51 | $35,057.76 | $47,616.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,000.64 / $79,239.13
| Facility | | $3,775.00 | $29,000.64 | $79,239.13 |