- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,293.10 / $51,506.70 / $90,703.40
| Facility | | $32,293.10 | $51,506.70 | $90,703.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,633.12 / $41,485.00 / $60,802.92
| Facility | | $12,633.12 | $41,485.00 | $60,802.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,860.18 / $40,049.24 / $67,091.84
| Facility | | $29,860.18 | $40,049.24 | $67,091.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,461.32 / $32,462.10 / $38,169.31
| Facility | | $20,461.32 | $32,462.10 | $38,169.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,259.37 / $36,538.92 / $56,903.05
| Facility | | $9,259.37 | $36,538.92 | $56,903.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,752.59 / $40,274.76 / $54,755.73
| Facility | | $28,752.59 | $40,274.76 | $54,755.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,261.89 / $88,149.92
| Facility | | $3,775.00 | $32,261.89 | $88,149.92 |