- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,045.80 / $46,327.30 / $81,582.50
| Facility | | $29,045.80 | $46,327.30 | $81,582.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,437.75 / $41,048.43 / $60,072.76
| Facility | | $16,437.75 | $41,048.43 | $60,072.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,857.51 / $36,021.98 / $60,345.23
| Facility | | $26,857.51 | $36,021.98 | $60,345.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,039.39 / $34,117.85 / $43,126.40
| Facility | | $24,039.39 | $34,117.85 | $43,126.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,692.78 / $35,994.94 / $56,637.63
| Facility | | $11,692.78 | $35,994.94 | $56,637.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,618.47 / $40,086.90 / $54,500.32
| Facility | | $28,618.47 | $40,086.90 | $54,500.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,017.70 / $79,285.75
| Facility | | $3,775.00 | $29,017.70 | $79,285.75 |