- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,147.30 / $35,324.50 / $62,206.50
| Facility | | $22,147.30 | $35,324.50 | $62,206.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,279.29 / $27,256.72 / $40,697.97
| Facility | | $10,279.29 | $27,256.72 | $40,697.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,478.80 / $27,466.69 / $46,013.12
| Facility | | $20,478.80 | $27,466.69 | $46,013.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,486.42 / $21,758.30 / $25,988.48
| Facility | | $14,486.42 | $21,758.30 | $25,988.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $25,396.02 / $37,082.01
| Facility | | $6,746.00 | $25,396.02 | $37,082.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,737.21 / $27,098.38 / $36,876.22
| Facility | | $18,737.21 | $27,098.38 | $36,876.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,125.94 / $60,455.23
| Facility | | $3,775.00 | $22,125.94 | $60,455.23 |