- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,361.40 / $51,615.70 / $90,895.40
| Facility | | $32,361.40 | $51,615.70 | $90,895.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,373.83 / $41,907.10 / $59,419.66
| Facility | | $15,373.83 | $41,907.10 | $59,419.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,923.37 / $40,133.99 / $67,233.81
| Facility | | $29,923.37 | $40,133.99 | $67,233.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,140.01 / $35,171.40 / $41,512.91
| Facility | | $23,140.01 | $35,171.40 | $41,512.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,835.51 / $35,966.17 / $59,003.88
| Facility | | $11,835.51 | $35,966.17 | $59,003.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,614.34 / $41,969.73 / $57,541.20
| Facility | | $30,614.34 | $41,969.73 | $57,541.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,330.16 / $88,336.45
| Facility | | $3,775.00 | $32,330.16 | $88,336.45 |