- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,346.40 / $38,831.90 / $68,383.10
| Facility | | $24,346.40 | $38,831.90 | $68,383.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,086.28 / $33,125.58 / $47,424.39
| Facility | | $12,086.28 | $33,125.58 | $47,424.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,512.17 / $30,193.90 / $50,581.84
| Facility | | $22,512.17 | $30,193.90 | $50,581.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,476.53 / $24,075.40 / $31,156.40
| Facility | | $16,476.53 | $24,075.40 | $31,156.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,015.59 / $28,405.50 / $45,343.13
| Facility | | $8,015.59 | $28,405.50 | $45,343.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,526.42 / $32,405.65 / $44,219.10
| Facility | | $23,526.42 | $32,405.65 | $44,219.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,322.87 / $63,361.73
| Facility | | $3,775.00 | $24,322.87 | $63,361.73 |