- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,242.60 / $41,856.30 / $73,709.10
| Facility | | $26,242.60 | $41,856.30 | $73,709.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,579.00 / $30,477.29 / $43,213.45
| Facility | | $14,579.00 | $30,477.29 | $43,213.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,265.53 / $32,545.55 / $54,521.40
| Facility | | $24,265.53 | $32,545.55 | $54,521.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,250.89 / $26,690.40 / $35,437.15
| Facility | | $19,250.89 | $26,690.40 | $35,437.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,159.06 / $26,156.75 / $42,911.16
| Facility | | $10,159.06 | $26,156.75 | $42,911.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,264.58 / $30,522.90 / $41,847.41
| Facility | | $22,264.58 | $30,522.90 | $41,847.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,890.16 / $36,932.26 / $53,134.07
| Facility | | $13,890.16 | $36,932.26 | $53,134.07 |