- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,490.90 / $40,657.50 / $71,597.89
| Facility | | $25,490.90 | $40,657.50 | $71,597.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,171.34 / $33,010.31 / $48,381.90
| Facility | | $14,171.34 | $33,010.31 | $48,381.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,570.50 / $31,613.36 / $52,959.77
| Facility | | $23,570.50 | $31,613.36 | $52,959.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,794.31 / $27,647.89 / $33,716.78
| Facility | | $18,794.31 | $27,647.89 | $33,716.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,043.56 / $29,158.11 / $45,278.71
| Facility | | $8,043.56 | $29,158.11 | $45,278.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,878.92 / $32,047.30 / $43,570.05
| Facility | | $22,878.92 | $32,047.30 | $43,570.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,466.32 / $69,582.23
| Facility | | $3,775.00 | $25,466.32 | $69,582.23 |