- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,842.20 / $44,407.70 / $78,201.89
| Facility | | $27,842.20 | $44,407.70 | $78,201.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,702.69 / $35,782.17 / $52,050.03
| Facility | | $9,702.69 | $35,782.17 | $52,050.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,744.61 / $34,529.33 / $57,844.69
| Facility | | $25,744.61 | $34,529.33 | $57,844.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,473.30 / $29,167.47 / $32,653.92
| Facility | | $17,473.30 | $29,167.47 | $32,653.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,032.80 / $32,515.47 / $48,680.68
| Facility | | $7,032.80 | $32,515.47 | $48,680.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,597.90 / $34,806.51 / $47,360.47
| Facility | | $24,597.90 | $34,806.51 | $47,360.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,815.29 / $76,000.38
| Facility | | $3,775.00 | $27,815.29 | $76,000.38 |