- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,870.80 / $52,428.20 / $92,326.10
| Facility | | $32,870.80 | $52,428.20 | $92,326.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,998.72 / $43,856.99 / $62,220.15
| Facility | | $19,998.72 | $43,856.99 | $62,220.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,394.38 / $40,765.72 / $68,292.10
| Facility | | $30,394.38 | $40,765.72 | $68,292.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,476.85 / $34,324.94 / $42,117.20
| Facility | | $23,476.85 | $34,324.94 | $42,117.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,624.90 / $38,696.16 / $60,156.61
| Facility | | $12,624.90 | $38,696.16 | $60,156.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,396.58 / $42,577.56 / $57,886.51
| Facility | | $30,396.58 | $42,577.56 | $57,886.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,839.05 / $89,726.91
| Facility | | $3,775.00 | $32,839.05 | $89,726.91 |