- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,372.70 / $37,278.90 / $65,648.10
| Facility | | $23,372.70 | $37,278.90 | $65,648.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,585.01 / $31,953.44 / $45,483.75
| Facility | | $11,585.01 | $31,953.44 | $45,483.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,611.80 / $28,986.30 / $48,558.83
| Facility | | $21,611.80 | $28,986.30 | $48,558.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,082.59 / $24,453.00 / $30,270.49
| Facility | | $15,082.59 | $24,453.00 | $30,270.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,445.84 / $27,270.84 / $43,947.87
| Facility | | $7,445.84 | $27,270.84 | $43,947.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,802.49 / $31,260.32 / $42,858.43
| Facility | | $22,802.49 | $31,260.32 | $42,858.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,350.08 / $63,799.96
| Facility | | $3,775.00 | $23,350.08 | $63,799.96 |