- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,272.90 / $51,474.50 / $90,646.70
| Facility | | $32,272.90 | $51,474.50 | $90,646.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,164.08 / $42,462.93 / $62,236.24
| Facility | | $17,164.08 | $42,462.93 | $62,236.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,841.52 / $40,024.21 / $67,049.89
| Facility | | $29,841.52 | $40,024.21 | $67,049.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,562.36 / $32,386.20 / $39,069.08
| Facility | | $21,562.36 | $32,386.20 | $39,069.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,744.63 / $37,474.10 / $58,244.43
| Facility | | $11,744.63 | $37,474.10 | $58,244.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,430.38 / $41,224.16 / $56,046.49
| Facility | | $29,430.38 | $41,224.16 | $56,046.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,241.72 / $88,094.82
| Facility | | $3,775.00 | $32,241.72 | $88,094.82 |