- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,055.20 / $47,937.40 / $84,417.80
| Facility | | $30,055.20 | $47,937.40 | $84,417.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,082.00 / $43,488.71 / $63,739.69
| Facility | | $17,082.00 | $43,488.71 | $63,739.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,790.91 / $37,273.87 / $62,442.45
| Facility | | $27,790.91 | $37,273.87 | $62,442.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,936.84 / $28,803.10 / $37,274.60
| Facility | | $19,936.84 | $28,803.10 | $37,274.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,232.31 / $38,304.94 / $59,651.45
| Facility | | $8,232.31 | $38,304.94 | $59,651.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,141.33 / $42,220.02 / $57,400.42
| Facility | | $30,141.33 | $42,220.02 | $57,400.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,802.01 / $17,907.84 / $43,387.49
| Facility | | $12,802.01 | $17,907.84 | $43,387.49 |