- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,063.10 / $49,545.00 / $87,248.70
| Facility | | $31,063.10 | $49,545.00 | $87,248.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,003.26 / $41,297.29 / $60,034.43
| Facility | | $13,003.26 | $41,297.29 | $60,034.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,722.87 / $38,523.85 / $64,536.45
| Facility | | $28,722.87 | $38,523.85 | $64,536.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,661.82 / $32,340.00 / $37,686.87
| Facility | | $20,661.82 | $32,340.00 | $37,686.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,790.11 / $36,730.80 / $56,183.84
| Facility | | $9,790.11 | $36,730.80 | $56,183.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,389.18 / $39,765.72 / $54,063.66
| Facility | | $28,389.18 | $39,765.72 | $54,063.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,037.00 / $52,779.28
| Facility | | $3,775.00 | $26,037.00 | $52,779.28 |