- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,419.90 / $45,329.10 / $79,824.60
| Facility | | $28,419.90 | $45,329.10 | $79,824.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,377.98 / $38,499.79 / $56,240.72
| Facility | | $17,377.98 | $38,499.79 | $56,240.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,278.80 / $35,245.80 / $59,044.95
| Facility | | $26,278.80 | $35,245.80 | $59,044.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,655.37 / $32,289.73 / $40,643.48
| Facility | | $22,655.37 | $32,289.73 | $40,643.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,803.47 / $34,053.81 / $52,633.47
| Facility | | $11,803.47 | $34,053.81 | $52,633.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,595.21 / $37,252.83 / $50,647.26
| Facility | | $26,595.21 | $37,252.83 | $50,647.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,392.45 / $77,577.36
| Facility | | $3,775.00 | $28,392.45 | $77,577.36 |