- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,053.40 / $44,744.50 / $78,795.20
| Facility | | $28,053.40 | $44,744.50 | $78,795.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,518.91 / $42,347.49 / $60,278.02
| Facility | | $15,518.91 | $42,347.49 | $60,278.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,939.90 / $34,791.26 / $58,283.50
| Facility | | $25,939.90 | $34,791.26 | $58,283.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,499.34 / $34,306.14 / $40,809.26
| Facility | | $21,499.34 | $34,306.14 | $40,809.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,457.42 / $36,141.69 / $59,248.47
| Facility | | $11,457.42 | $36,141.69 | $59,248.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,741.25 / $42,143.71 / $57,779.73
| Facility | | $30,741.25 | $42,143.71 | $57,779.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,026.30 / $76,576.91
| Facility | | $3,775.00 | $28,026.30 | $76,576.91 |