- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,245.10 / $53,025.10 / $93,377.30
| Facility | | $33,245.10 | $53,025.10 | $93,377.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,667.13 / $41,087.51 / $60,698.35
| Facility | | $17,667.13 | $41,087.51 | $60,698.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,740.45 / $41,229.87 / $69,069.69
| Facility | | $30,740.45 | $41,229.87 | $69,069.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,264.47 / $30,998.91 / $38,148.22
| Facility | | $21,264.47 | $30,998.91 | $38,148.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,902.54 / $37,854.58 / $55,898.44
| Facility | | $9,902.54 | $37,854.58 | $55,898.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,244.97 / $40,415.68 / $54,965.32
| Facility | | $28,244.97 | $40,415.68 | $54,965.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $33,212.96 / $90,748.55
| Facility | | $3,775.00 | $33,212.96 | $90,748.55 |