- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,064.70 / $49,547.40 / $87,253.10
| Facility | | $31,064.70 | $49,547.40 | $87,253.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,753.02 / $40,869.04 / $59,830.10
| Facility | | $16,753.02 | $40,869.04 | $59,830.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,724.31 / $38,525.78 / $64,539.68
| Facility | | $28,724.31 | $38,525.78 | $64,539.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,633.18 / $31,716.30 / $37,558.61
| Facility | | $20,633.18 | $31,716.30 | $37,558.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,640.66 / $36,149.57 / $55,992.63
| Facility | | $10,640.66 | $36,149.57 | $55,992.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,292.56 / $39,630.37 / $53,879.66
| Facility | | $28,292.56 | $39,630.37 | $53,879.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,034.65 / $84,796.72
| Facility | | $3,775.00 | $31,034.65 | $84,796.72 |