- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,947.40 / $39,790.50 / $70,071.20
| Facility | | $24,947.40 | $39,790.50 | $70,071.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,335.77 / $33,785.07 / $50,114.01
| Facility | | $11,335.77 | $33,785.07 | $50,114.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,067.90 / $30,939.26 / $51,830.50
| Facility | | $23,067.90 | $30,939.26 | $51,830.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,060.84 / $26,852.10 / $30,831.41
| Facility | | $17,060.84 | $26,852.10 | $30,831.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,350.30 / $31,253.65 / $45,963.67
| Facility | | $7,350.30 | $31,253.65 | $45,963.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,225.02 / $33,368.50 / $45,381.15
| Facility | | $23,225.02 | $33,368.50 | $45,381.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,923.30 / $68,098.50
| Facility | | $3,775.00 | $24,923.30 | $68,098.50 |