- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,104.60 / $44,826.30 / $78,939.10
| Facility | | $28,104.60 | $44,826.30 | $78,939.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,753.02 / $37,774.28 / $53,768.79
| Facility | | $16,753.02 | $37,774.28 | $53,768.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,987.29 / $34,854.82 / $58,389.97
| Facility | | $25,987.29 | $34,854.82 | $58,389.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,898.78 / $29,114.20 / $35,891.17
| Facility | | $19,898.78 | $29,114.20 | $35,891.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,339.20 / $32,238.66 / $52,108.19
| Facility | | $9,339.20 | $32,238.66 | $52,108.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,036.49 / $37,064.80 / $50,816.45
| Facility | | $27,036.49 | $37,064.80 | $50,816.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $28,077.50 / $73,142.64
| Facility | | $3,775.00 | $28,077.50 | $73,142.64 |