- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,285.70 / $37,140.10 / $65,403.80
| Facility | | $23,285.70 | $37,140.10 | $65,403.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,537.83 / $31,297.08 / $45,496.98
| Facility | | $10,537.83 | $31,297.08 | $45,496.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,531.38 / $28,878.44 / $48,378.14
| Facility | | $21,531.38 | $28,878.44 | $48,378.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,390.81 / $26,714.61 / $31,198.92
| Facility | | $17,390.81 | $26,714.61 | $31,198.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,258.25 / $28,114.89 / $42,578.83
| Facility | | $7,258.25 | $28,114.89 | $42,578.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,514.69 / $30,149.69 / $40,972.05
| Facility | | $21,514.69 | $30,149.69 | $40,972.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,263.19 / $63,562.56
| Facility | | $3,775.00 | $23,263.19 | $63,562.56 |