- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,890.10 / $41,294.10 / $72,718.89
| Facility | | $25,890.10 | $41,294.10 | $72,718.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,560.76 / $34,677.26 / $50,171.35
| Facility | | $15,560.76 | $34,677.26 | $50,171.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,939.56 / $32,108.35 / $53,788.98
| Facility | | $23,939.56 | $32,108.35 | $53,788.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,956.63 / $27,948.00 / $37,067.08
| Facility | | $19,956.63 | $27,948.00 | $37,067.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,940.99 / $31,697.90 / $45,985.57
| Facility | | $9,940.99 | $31,697.90 | $45,985.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,080.81 / $34,210.69 / $47,161.07
| Facility | | $23,080.81 | $34,210.69 | $47,161.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,865.06 / $67,379.17
| Facility | | $3,775.00 | $25,865.06 | $67,379.17 |