- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,127.10 / $35,292.30 / $62,149.80
| Facility | | $22,127.10 | $35,292.30 | $62,149.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,802.20 / $31,180.13 / $45,514.85
| Facility | | $9,802.20 | $31,180.13 | $45,514.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,460.13 / $27,441.65 / $45,971.17
| Facility | | $20,460.13 | $27,441.65 | $45,971.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,836.07 / $23,294.70 / $29,112.28
| Facility | | $15,836.07 | $23,294.70 | $29,112.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,881.02 / $27,267.27 / $43,395.78
| Facility | | $7,881.02 | $27,267.27 | $43,395.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,930.01 / $30,718.14 / $41,762.98
| Facility | | $21,930.01 | $30,718.14 | $41,762.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,105.77 / $57,586.14
| Facility | | $3,775.00 | $22,105.77 | $57,586.14 |