- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,961.90 / $46,193.60 / $81,346.89
| Facility | | $28,961.90 | $46,193.60 | $81,346.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,987.00 / $38,819.79 / $56,432.85
| Facility | | $17,987.00 | $38,819.79 | $56,432.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,779.96 / $35,917.97 / $60,171.00
| Facility | | $26,779.96 | $35,917.97 | $60,171.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,262.91 / $30,777.45 / $35,425.97
| Facility | | $19,262.91 | $30,777.45 | $35,425.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,858.54 / $34,577.29 / $52,813.27
| Facility | | $10,858.54 | $34,577.29 | $52,813.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,686.06 / $37,380.10 / $50,820.28
| Facility | | $26,686.06 | $37,380.10 | $50,820.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,933.92 / $75,373.66
| Facility | | $3,775.00 | $28,933.92 | $75,373.66 |