- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,708.40 / $41,004.30 / $72,208.50
| Facility | | $25,708.40 | $41,004.30 | $72,208.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,736.85 / $33,854.30 / $49,214.44
| Facility | | $10,736.85 | $33,854.30 | $49,214.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,771.54 / $31,883.00 / $53,411.48
| Facility | | $23,771.54 | $31,883.00 | $53,411.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,138.75 / $25,649.25 / $30,894.59
| Facility | | $17,138.75 | $25,649.25 | $30,894.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,145.82 / $29,949.84 / $46,057.85
| Facility | | $7,145.82 | $29,949.84 | $46,057.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,272.61 / $32,598.76 / $44,319.79
| Facility | | $23,272.61 | $32,598.76 | $44,319.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,683.53 / $70,175.72
| Facility | | $3,775.00 | $25,683.53 | $70,175.72 |