- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,589.40 / $48,789.50 / $85,918.30
| Facility | | $30,589.40 | $48,789.50 | $85,918.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,192.00 / $41,628.74 / $60,516.26
| Facility | | $20,192.00 | $41,628.74 | $60,516.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,284.89 / $37,936.42 / $63,552.37
| Facility | | $28,284.89 | $37,936.42 | $63,552.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,596.73 / $32,137.05 / $39,105.85
| Facility | | $21,596.73 | $32,137.05 | $39,105.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,853.88 / $37,463.49 / $56,634.78
| Facility | | $10,853.88 | $37,463.49 | $56,634.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,617.03 / $40,399.33 / $54,871.76
| Facility | | $28,617.03 | $40,399.33 | $54,871.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $30,559.90 / $79,609.36
| Facility | | $3,775.00 | $30,559.90 | $79,609.36 |