- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,433.70 / $43,756.20 / $77,054.70
| Facility | | $27,433.70 | $43,756.20 | $77,054.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,253.00 / $38,257.58 / $55,615.56
| Facility | | $18,253.00 | $38,257.58 | $55,615.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,366.94 / $34,022.79 / $56,996.12
| Facility | | $25,366.94 | $34,022.79 | $56,996.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,742.02 / $30,237.30 / $37,210.96
| Facility | | $20,742.02 | $30,237.30 | $37,210.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,331.59 / $34,539.81 / $52,048.40
| Facility | | $11,331.59 | $34,539.81 | $52,048.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,299.58 / $37,214.42 / $50,603.89
| Facility | | $26,299.58 | $37,214.42 | $50,603.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,407.25 / $71,396.63
| Facility | | $3,775.00 | $27,407.25 | $71,396.63 |