- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,001.10 / $51,041.10 / $89,883.40
| Facility | | $32,001.10 | $51,041.10 | $89,883.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,181.73 / $39,181.73 / $39,181.73
| Facility | | $39,181.73 | $39,181.73 | $39,181.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,161.97 / $41,406.37 / $60,193.00
| Facility | | $18,161.97 | $41,406.37 | $60,193.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,590.22 / $39,687.16 / $66,485.25
| Facility | | $29,590.22 | $39,687.16 | $66,485.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,444.56 / $33,958.65 / $40,265.29
| Facility | | $22,444.56 | $33,958.65 | $40,265.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,832.02 / $37,226.33 / $56,332.25
| Facility | | $11,832.02 | $37,226.33 | $56,332.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,464.17 / $39,919.92 / $54,220.59
| Facility | | $28,464.17 | $39,919.92 | $54,220.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $31,970.21 / $87,352.96
| Facility | | $3,775.00 | $31,970.21 | $87,352.96 |