- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,920.10 / $47,721.90 / $84,038.30
| Facility | | $29,920.10 | $47,721.90 | $84,038.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,578.50 / $36,528.99 / $53,102.68
| Facility | | $11,578.50 | $36,528.99 | $53,102.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,665.98 / $37,106.32 / $62,161.75
| Facility | | $27,665.98 | $37,106.32 | $62,161.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,980.64 / $27,111.15 / $33,335.44
| Facility | | $16,980.64 | $27,111.15 | $33,335.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,940.17 / $32,621.24 / $49,696.70
| Facility | | $6,940.17 | $32,621.24 | $49,696.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,111.29 / $35,174.26 / $47,821.32
| Facility | | $25,111.29 | $35,174.26 | $47,821.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,891.20 / $81,672.42
| Facility | | $3,775.00 | $29,891.20 | $81,672.42 |