- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,779.90 / $42,713.40 / $75,218.30
| Facility | | $26,779.90 | $42,713.40 | $75,218.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,788.68 / $32,426.90 / $47,670.47
| Facility | | $11,788.68 | $32,426.90 | $47,670.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,762.38 / $33,211.94 / $55,637.77
| Facility | | $24,762.38 | $33,211.94 | $55,637.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,527.88 / $25,434.75 / $29,135.25
| Facility | | $15,527.88 | $25,434.75 | $29,135.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $29,989.04 / $43,727.23
| Facility | | $6,409.00 | $29,989.04 | $43,727.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,947.32 / $32,407.19 / $44,100.58
| Facility | | $21,947.32 | $32,407.19 | $44,100.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,754.07 / $73,100.75
| Facility | | $3,775.00 | $26,754.07 | $73,100.75 |