- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,200.30 / $37,003.90 / $65,163.90
| Facility | | $23,200.30 | $37,003.90 | $65,163.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,821.48 / $30,030.01 / $43,655.02
| Facility | | $10,821.48 | $30,030.01 | $43,655.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,452.40 / $28,772.51 / $48,200.68
| Facility | | $21,452.40 | $28,772.51 | $48,200.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,851.90 / $23,401.95 / $27,404.64
| Facility | | $14,851.90 | $23,401.95 | $27,404.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,881.33 / $26,697.22 / $40,855.01
| Facility | | $6,881.33 | $26,697.22 | $40,855.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,643.66 / $28,916.30 / $39,313.28
| Facility | | $20,643.66 | $28,916.30 | $39,313.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,963.40 / $20,202.00 / $39,419.54
| Facility | | $8,963.40 | $20,202.00 | $39,419.54 |