- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,166.60 / $43,330.20 / $76,304.50
| Facility | | $27,166.60 | $43,330.20 | $76,304.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,157.14 / $35,213.23 / $51,231.03
| Facility | | $15,157.14 | $35,213.23 | $51,231.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,119.95 / $33,691.51 / $56,441.16
| Facility | | $25,119.95 | $33,691.51 | $56,441.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,932.00 / $29,096.26 / $35,757.79
| Facility | | $19,932.00 | $29,096.26 | $35,757.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,928.17 / $30,685.69 / $48,836.19
| Facility | | $9,928.17 | $30,685.69 | $48,836.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,766.63 / $34,691.48 / $47,046.89
| Facility | | $24,766.63 | $34,691.48 | $47,046.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $27,140.39 / $74,156.33
| Facility | | $3,775.00 | $27,140.39 | $74,156.33 |