- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,645.20 / $47,283.50 / $83,266.20
| Facility | | $29,645.20 | $47,283.50 | $83,266.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,299.93 / $35,871.15 / $51,056.87
| Facility | | $13,299.93 | $35,871.15 | $51,056.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,411.80 / $36,765.41 / $61,590.66
| Facility | | $27,411.80 | $36,765.41 | $61,590.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,512.66 / $28,628.00 / $35,005.51
| Facility | | $19,512.66 | $28,628.00 | $35,005.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,309.48 / $30,614.42 / $49,742.92
| Facility | | $9,309.48 | $30,614.42 | $49,742.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,809.26 / $35,382.37 / $48,509.82
| Facility | | $25,809.26 | $35,382.37 | $48,509.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $29,616.58 / $80,922.09
| Facility | | $3,775.00 | $29,616.58 | $80,922.09 |