- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,058.80 / $34,870.69 / $56,544.70
| Facility | | $22,058.80 | $34,870.69 | $56,544.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,015.98 / $28,121.66 / $64,263.19
| Facility | | $16,015.98 | $28,121.66 | $64,263.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $25,468.94 / $51,113.62
| Facility | | $100.00 | $25,468.94 | $51,113.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,132.40 / $40,001.19 / $64,763.70
| Facility | | $26,132.40 | $40,001.19 | $64,763.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,362.83 / $48,444.65 / $56,853.91
| Facility | | $33,362.83 | $48,444.65 | $56,853.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,519.05 / $30,959.94 / $64,763.70
| Facility | | $21,519.05 | $30,959.94 | $64,763.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $29,558.00 / $55,871.73
| Facility | | $5,760.00 | $29,558.00 | $55,871.73 |