- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,184.80 / $56,118.90 / $98,825.50
| Facility | | $35,184.80 | $56,118.90 | $98,825.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,841.98 / $46,459.95 / $68,094.52
| Facility | | $21,841.98 | $46,459.95 | $68,094.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,534.02 / $43,635.46 / $73,099.58
| Facility | | $32,534.02 | $43,635.46 | $73,099.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,031.58 / $38,848.00 / $44,906.38
| Facility | | $25,031.58 | $38,848.00 | $44,906.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,632.47 / $40,970.76 / $63,726.97
| Facility | | $12,632.47 | $40,970.76 | $63,726.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,200.65 / $45,104.58 / $61,322.13
| Facility | | $32,200.65 | $45,104.58 | $61,322.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $35,150.78 / $96,043.32
| Facility | | $3,775.00 | $35,150.78 | $96,043.32 |