- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,630.40 / $28,538.40 / $46,996.50
| Facility | | $11,630.40 | $28,538.40 | $46,996.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,532.13 / $48,275.44 / $62,598.39
| Facility | | $32,532.13 | $48,275.44 | $62,598.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $37,715.36 / $60,302.88
| Facility | | $17,646.00 | $37,715.36 | $60,302.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,144.89 / $40,630.41 / $85,203.25
| Facility | | $21,144.89 | $40,630.41 | $85,203.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,273.73 / $15,886.85 / $16,438.03
| Facility | | $12,273.73 | $15,886.85 | $16,438.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $40,362.10 / $60,317.77
| Facility | | $17,648.00 | $40,362.10 | $60,317.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $27,006.43 / $51,877.02
| Facility | | $5,281.00 | $27,006.43 | $51,877.02 |