- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,731.10 / $34,660.69 / $61,037.50
| Facility | | $21,731.10 | $34,660.69 | $61,037.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,709.38 / $30,452.68 / $44,566.30
| Facility | | $12,709.38 | $30,452.68 | $44,566.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,093.95 / $26,950.52 / $45,148.41
| Facility | | $20,093.95 | $26,950.52 | $45,148.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,891.28 / $25,311.08 / $30,302.76
| Facility | | $16,891.28 | $25,311.08 | $30,302.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,493.29 / $26,693.49 / $41,985.19
| Facility | | $8,493.29 | $26,693.49 | $41,985.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,214.73 / $29,716.22 / $40,400.82
| Facility | | $21,214.73 | $29,716.22 | $40,400.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,710.14 / $59,319.13
| Facility | | $3,775.00 | $21,710.14 | $59,319.13 |