- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,003.80 / $47,627.10 / $57,508.60
| Facility | | $25,003.80 | $47,627.10 | $57,508.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $43,006.45 / $71,258.83
| Facility | | $12,397.00 | $43,006.45 | $71,258.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,955.40 / $38,769.96 / $43,412.34
| Facility | | $31,955.40 | $38,769.96 | $43,412.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,633.18 / $32,677.40 / $42,838.75
| Facility | | $20,633.18 | $32,677.40 | $42,838.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,284.22 / $41,901.30 / $64,647.72
| Facility | | $24,284.22 | $41,901.30 | $64,647.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,022.86 / $37,570.39 / $49,417.60
| Facility | | $27,022.86 | $37,570.39 | $49,417.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $42,020.30 / $60,459.07
| Facility | | $3,775.00 | $42,020.30 | $60,459.07 |