- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,102.80 / $33,383.90 / $54,976.10
| Facility | | $11,102.80 | $33,383.90 | $54,976.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,587.00 / $47,387.43 / $72,149.39
| Facility | | $1,587.00 | $47,387.43 | $72,149.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $44,119.03 / $70,541.69
| Facility | | $17,646.00 | $44,119.03 | $70,541.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,735.07 / $47,529.03 / $99,669.89
| Facility | | $24,735.07 | $47,529.03 | $99,669.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,929.72 / $18,929.72 / $18,929.72
| Facility | | $18,929.72 | $18,929.72 | $18,929.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $47,215.17 / $70,559.10
| Facility | | $17,648.00 | $47,215.17 | $70,559.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $31,591.84 / $60,685.20
| Facility | | $5,281.00 | $31,591.84 | $60,685.20 |