- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,359.50 / $46,827.70 / $82,463.60
| Facility | | $29,359.50 | $46,827.70 | $82,463.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,632.12 / $38,047.80 / $55,310.60
| Facility | | $16,632.12 | $38,047.80 | $55,310.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,147.58 / $36,411.03 / $60,996.98
| Facility | | $27,147.58 | $36,411.03 | $60,996.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,103.13 / $30,610.20 / $39,652.78
| Facility | | $22,103.13 | $30,610.20 | $39,652.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,192.08 / $34,363.86 / $51,763.00
| Facility | | $10,192.08 | $34,363.86 | $51,763.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,155.37 / $37,010.36 / $50,343.43
| Facility | | $26,155.37 | $37,010.36 | $50,343.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,331.11 / $80,142.08
| Facility | | $3,775.00 | $29,331.11 | $80,142.08 |