- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,765.50 / $55,450.10 / $97,647.70
| Facility | | $34,765.50 | $55,450.10 | $97,647.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,202.39 / $46,824.99 / $68,070.12
| Facility | | $20,202.39 | $46,824.99 | $68,070.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,146.30 / $43,115.44 / $72,228.42
| Facility | | $32,146.30 | $43,115.44 | $72,228.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,728.39 / $36,832.94 / $47,950.43
| Facility | | $26,728.39 | $36,832.94 | $47,950.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,996.27 / $41,583.65 / $63,704.13
| Facility | | $13,996.27 | $41,583.65 | $63,704.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,189.11 / $45,088.42 / $61,300.16
| Facility | | $32,189.11 | $45,088.42 | $61,300.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $34,731.87 / $94,898.73
| Facility | | $3,775.00 | $34,731.87 | $94,898.73 |