- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,102.60 / $38,443.00 / $67,698.20
| Facility | | $24,102.60 | $38,443.00 | $67,698.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,014.19 / $32,192.84 / $46,799.16
| Facility | | $9,014.19 | $32,192.84 | $46,799.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,286.72 / $29,891.52 / $50,075.28
| Facility | | $22,286.72 | $29,891.52 | $50,075.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,845.24 / $25,797.75 / $30,648.28
| Facility | | $15,845.24 | $25,797.75 | $30,648.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,394.57 / $28,828.38 / $43,797.48
| Facility | | $7,394.57 | $28,828.38 | $43,797.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,130.47 / $30,998.92 / $42,144.72
| Facility | | $22,130.47 | $30,998.92 | $42,144.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,079.28 / $65,792.38
| Facility | | $3,775.00 | $24,079.28 | $65,792.38 |